| NPI | 1932536000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE MARIE WILLIAMS Director/CEO 770-912-6446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |