Organization Name: | HERITAGE MEDICAL SOLUTIONS |
NPI Number: | 1023325982 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GAINIAT JAIYESINMI AJAYI (OWNER) |
Mailing Address: | 4330 S Lee St Bldg 600 Buford |
State: | GA US |
Postal Code: | 305183072 |
Phone Number: | 6788894944 |
Fax Number: | 6788894946 |
NPI Enumeration Date: | 09/13/2010 |
NPI Last Update Date: | 09/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | 047776 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |