NPI 1457737926

Mc Jo LLC

Organisation Health Maintenance Organization Douglasville, GA

Practice location

Address: 4505 River Stone Trl, Douglasville, GA 30135-8678
Phone: (678) 836-9799

Authorised official

Name: Obinna Okechukwu Olowu
Title: Administrator
Phone: (678) 836-9799

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 048-R-1373 (GA)

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Registry record

NPI: 1457737926
Entity type: Organization
NPI issued: 6 Aug 2015
Record last updated: 6 Aug 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.