| NPI | 1881840205 |
|---|---|
| Other Name | BCBS PROVIDER |
| Entity Type | Organization |
| Authorized Contact | KAREN LYN ORSINI Vice President Financial Services 404-364-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |