| NPI | 1023325982 |
|---|---|
| Other Name | HERITAGE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | GAINIAT JAIYESINMI AJAYI Owner 678-889-4944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA 047776) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |