NPI | 1225375652 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES E FUGEDY Owner 404-549-8357 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA 0325502) |
Enumeration Date | 2013-01-04 |
Last Update Date | 2013-01-04 |