| 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 |