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KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.

Medical Equipment Supplier Yellow Pages

Tucker, Georgia

Provider NPI: 1578678462

Organization Information:
Organization Name:  KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.


Practice Location:
200 CRESCENT CENTER PKWY  TUCKER, GA 30084 US
Tel: 770-496-3523  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336M0003XSuppliers
Pharmacy
Managed Care Organization Pharmacy
GAPHRE007007

Other Provider Identifiers:

IssuerNumberStateType
NCPDP PROVIDER IDENTIFICATION NUMBER113611101
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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