| NPI | 1588073050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON MICHAEL RAHN Owner 404-421-3957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA OPT002835) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |