Peach State Health Plan, Inc

NPI 1013034552 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1013034552
Enumeration Date 03/22/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name HERBERT HERBERT
Position COMPLIANCE OFFICER
Phone (678) 556-2300
Fax (770) 803-0043
Practice Location
3200 HIGHLANDS PKWY SE
SUITE 300
SMYRNA GA, 30082-5166, US
Phone (678) 556-2300
Fax (770) 803-0043
Business Location
3200 HIGHLANDS PKWY SE
SUITE 300
SMYRNA GA, 30082-5166, US
Phone (678) 556-2300
Fax (770) 803-0043
Toxanomy
Taxonomy Code 302R00000X
License State Georgia
License Number 12315
Remove 1013034552 NPI Number
 

According to our database, Peach State Health Plan, Inc NPI is 1013034552, taxonomy code is 302R00000X and license number is 12315, license state is located at Georgia. Peach State Health Plan, Inc physically located at 3200 Highlands Pkwy Se, Smyrna GA, 30082-5166. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1013034552 NPI number is provided on an as is basis without warranty of any kind. 1013034552 is maintained by the National Plan & Provider Enumeration System. The contents of Peach State Health Plan, Inc are for informational purposes only.