NPI | 1417044181 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAUNCEY DANIELS CEO 404-765-9437 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: GA 057447) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2020-09-16 |