| NPI | 1811358070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL BENEFIELD Owner 770-378-8655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA LPC006186) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2017-01-25 |