NPI 1164551503

Magellan Healthcare Services

Organisation Exclusive Provider Organization Alpharetta, GA

Practice location

Address: 2550 Northwinds Pkwy, Alpharetta, GA 30004-2241
Phone: (800) 201-8316
Mailing address: 2785 Oak Meadow Dr, Snellville, GA 30078-2794

Authorised official

Name: Nishma Herrera-Daya
Title: Supervisor
Phone: (800) 201-8316

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 002776 (GA)

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Registry record

NPI: 1164551503
Entity type: Organization
NPI issued: 3 Mar 2007
Record last updated: 22 Aug 2020

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.