Connecticut General Life Insurance Company
Clinic/Center in Mcdonough, GA. Organization (NPI-2).
NPI number1376929216
StatusActive
Last updated in NPPESAug 3, 2015
Details
- NPI
- 1376929216
- Entity type
- Organization (NPI-2)
- Legal business name
- Connecticut General Life Insurance Company
- Organization subpart
- No
- Enumeration date
- Aug 3, 2015
- Last updated
- Aug 3, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Cigna Onsite Health, LLC; Henry County Wellness Center (Other Name)
Practice location
116 S Zack Hinton PkwyMcdonough, GA 30253-3353
Phone 877-733-1710
Mailing address
25500 N Norterra DrPhoenix, AZ 85085-8200
Phone 877-733-1710 · Fax 623-277-1091
Authorized official
Stacey Popko
Medical Senior Director
4127474128
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