| NPI | 1649560574 |
|---|---|
| Other Name | LIMITED LIABILITY COMPANY |
| Entity Type | Organization |
| Authorized Contact | SHERRIE CHARMANIE THORNHILL Licensed Massage Therapist 678-755-3601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA MT001943) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2011-04-12 |