| NPI | 1083989669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN DUMAS CEO 478-228-1422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA 076-R-1011) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |