| NPI | 1992819072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINWE BIBI NWABUDE Pharmacist 404-699-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA PHRE008987) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |