| NPI | 1417403031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUSHENG QIAO Owner 404-402-9007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA 14) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |