Whalio Doctors

NPI 1073814505

Cc Visions

Organisation Health Maintenance Organization McDonough, GA

Practice location

Address
600 Addison Way, McDonough, GA 30253-8075
Phone
(404) 823-4481
Fax
(678) 782-3530

Authorised official

Name
Celethia J Coleman
Title
Cna/Pct
Phone
(404) 823-4481

Registered specialties (2)

Health Maintenance Organization Primary
Managed Care Organizations Taxonomy 302R00000X Licence 812199 (GA)
Non-emergency Medical Transport (VAN)
Transportation Services Taxonomy 343900000X Licence 12053036 (GA)

Registry record

NPI
1073814505
Entity type
Organization
NPI issued
15 Nov 2010
Record last updated
2 Jan 2015

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.