| NPI | 1427423771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORRINE SHARON KNIGHT Owner 770-865-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA COSA051935) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |