| NPI | 1073743175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA BADIE Billing Manager 770-455-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA 0688103) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |