ProviderBusinessMailingAddressFaxNumber = '7062350405'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1861424004 | BLAKE | LISA | | | 15 RIVERBEND DR SW | ROME | GA | 301616065 |
| 1609853324 | BURCH | MARY | CATHERINE | | 15 RIVERBEND DR SW | ROME | GA | 301616065 |
| 1962489732 | DOUGLAS | JAMES | T | | 15 RIVERBEND DR SW | ROME | GA | 301616065 |
| 1447237169 | FREEMAN | DIXON | L | | 15 RIVERBEND DR SW | ROME | GA | 301616065 |
| 1023095882 | MONTGOMERY | WILLIAM | KEITH | | 15 RIVERBEND DR SW | ROME | GA | 301616065 |
| 1447237268 | PICKENS | CHRISTOPHER | J | | 15 RIVERBEND DR SW | ROME | GA | 301616065 |
| 1558348300 | SHUMPERT | CYNTHIA | R | | 15 RIVEBEND DRIVE | ROME | GA | 30161 |
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