NPI 1235569344

Masterpiecewithin

Organisation Health Maintenance Organization Marietta, GA

Practice location

Address: 2164 Hidden Glen Dr SE, Marietta, GA 30067-8740
Phone: (678) 913-9169

Authorised official

Name: Loretta Johnson McClee
Title: Owner
Phone: (678) 913-9169

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence CL1230175 (FL)

Other Health Maintenance Organization providers in Georgia →

Registry record

NPI: 1235569344
Entity type: Organization
NPI issued: 26 Nov 2013
Record last updated: 26 Nov 2013

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.