| NPI | 1760851802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN SPAGNARDI Owner 404-556-7716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA 302R00000x) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |