| NPI | 1326341488 |
|---|---|
| Doing Business As | FGP MANAGED CARE |
| Entity Type | Organization |
| Authorized Contact | AMANDA D GEORGE Associate Vc For Clinical Finance 501-686-6633 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2019-06-20 |