| NPI | 1245543123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON G REEVES CEO 770-227-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA 302R00000X) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-20 |