NPI | 1093014532 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY ELLIOTT Owner 423-339-2321 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA RN115578NP) |
Enumeration Date | 2011-03-23 |
Last Update Date | 2011-03-23 |