ProviderBusinessMailingAddressFaxNumber = '7709186686'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1891859377 | | | | GRN CSB | 977A TAYLOR ST SW | CONYERS | GA | 300125357 |
| 1952698227 | | | | GRNCSB | 977A TAYLOR ST | CONYERS | GA | 30012 |
| 1801951785 | GOOLSBY | MICHELLE | | | 1510 SUGARPLUM PL SW | CONYERS | GA | 300946844 |
| 1033271069 | HARPER | ANNIE | L. | | 977A TAYLOR ST SW | CONYERS | GA | 300125357 |
| 1326103219 | HAWTHORNE | ERIKA | NATASHA | | 1748 BRANDON GLEN WAY NE | CONYERS | GA | 300123890 |
| 1962577452 | HIBBARD | JENNIFER | SPONHALTZ | | 977A TAYLOR ST SW | CONYERS | GA | 300125357 |
| 1144385865 | HUTTO | GINA | KEMP | | 2823 CLAUDE BREWER RD | LOGANVILLE | GA | 300524203 |
| 1306909650 | JONES | SAMUEL | CHADWICK | | 977A TAYLOR ST SW | CONYERS | GA | 300125357 |
| 1629357637 | KIRK | TED | M | | 977A TAYLOR STREET | CONYERS | GA | 30012 |
| 1598816266 | LAKE | PAMELA | M | | 977A TAYLOR ST SW | CONYERS | GA | 300125357 |
| 1184771800 | MOORE | GAIL | | | 2480 HILLSIDE AVE | DECATUR | GA | 300324125 |
| 1902968910 | MULLINAX | AMANDA | MILLWOOD | | 977A TAYLOR ST SW | CONYERS | GA | 300125357 |
| 1669536165 | MURPHY | DEBRA | LYNNE | | 2190 HAMPTON TRL SE | CONYERS | GA | 300132377 |
| 1851512172 | ROBINSON | FALESHA | | | 977 TAYLOR ST SW # A | CONYERS | GA | 300125357 |
| 1144385071 | SYED | WAJIHA | F. | | 977A TAYLOR ST SW | CONYERS | GA | 300125357 |
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