| 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 |