NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1063405199 | BIRON | EDWINA | STRICKLAND |   | 1199 PRINCE AVE FL 2 | ATHENS | GA | 306062797 |
1164808036 | JASPER | AMANDA | ELIZABETH |   | 1199 PRINCE AVENUE | ATHENS | GA | 30606 |
1083002570 | PORTER | ANDREW |   |   | 242 KING AVENUE | ATHENS | GA | 30606 |
1225463060 | WALL | KELLY | E. |   | 1199 PRINCE AVE | ATHENS | GA | 306062797 |