| NPI | 1811243868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL VEAL Director 478-272-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA 3336c0002x) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |