| NPI | 1275922700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA BUTEAU CEO 678-927-1592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA RN188191) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |