| NPI | 1396882783 |
|---|---|
| Doing Business As | ALLRED FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SHELLI ANNE CARROLL Office Manager 706-741-8433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA 014067) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: GA 010469) |
| 302R00000X Health Maintenance Organization (Licence: GA 014094) | |
| 302R00000X Health Maintenance Organization (Licence: GA 014960) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2016-09-16 |