NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1023297249 |   |   |   | ATHENS MEDICAL GROUP, INC | 1702 LAFAYETTE RD | CRAWFORDSVILLE | IN | 479331033 |
1538106778 | HORNBACK | CLIFFORD | F |   | 1702 LAFAYETTE ROAD | CRAWFORDSVILLE | IN | 47933 |