| NPI | 1306102488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN WHITLOW Billing & Collections Mgr 706-370-7749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |