| NPI | 1477926509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN NURSE Family Nurse Practitioner 404-846-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA 363L00000X) |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2015-11-11 |