| NPI | 1528401080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEELAM PATEL Pgy 1 Managed Care Pharmacy Residen 404-949-5375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA RPH026665) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-04-15 |