Organization
AETNA LIFE INSURANCE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD C LEE (VICE PRESIDENT & SECRETARY)
(860) 273-8329
Entity
Organization
Contact information
Practice address
2000 RIVEREDGE PKWY STE 200, ATLANTA, GA 30328-4694
(470) 279-0027
Mailing address
2000 RIVEREDGE PKWY STE 200, ATLANTA, GA 30328-4694
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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