| NPI | 1023431145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN R. KOHLER Sr. Director, Ethics And Compliance 770-743-3252 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |