| NPI | 1457565541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DODDAMETIKUR S SIDDAPPA Staff Psychiatrist 404-243-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA 021810) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-12-04 |