| NPI | 1700142056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD PONES Pres/CEO 404-451-5862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA 060-R-0733) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |