| NPI | 1841597275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY GLASS President/CEO 770-675-3872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA 13364) |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2011-02-21 |