NPI 1023325982

Heritage Medical Solutions

Organisation Health Maintenance Organization Buford, GA

Practice location

Address: 4330 S Lee St Bldg 600, Buford, GA 30518-3072
Phone: (678) 889-4944
Fax: (678) 889-4946

Authorised official

Name: Gainiat Jaiyesinmi Ajayi
Title: Owner
Phone: (678) 889-4944

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 047776 (GA)

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Registry record

NPI: 1023325982
Entity type: Organization
NPI issued: 13 Sep 2010
Record last updated: 13 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.