NPI | 1992958722 |
---|---|
Entity Type | Organization |
Authorized Contact | SCHADALE STEVENS President 404-292-8383 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA 012150) |
Enumeration Date | 2008-10-24 |
Last Update Date | 2008-10-24 |