NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1780860924 |   |   |   | SPORTS MEDICINE SOUTH, LLC | 1900 RIVERSIDE PKWY | LAWRENCEVILLE | GA | 300435925 |
1114001328 | BAZEMORE | CURTIS | WRIGHT |   | 1900 RIVERSIDE PKWY | LAWRENCEVILLE | GA | 300435925 |
1598765950 | DEAN | DIANA | K |   | 1900 RIVERSIDE PKWY | LAWRENCEVILLE | GA | 300435925 |
1316291610 | GARRISON | LINDSEY | ANN |   | 1900 RIVERSIDE PKWY | LAWRENCEVILLE | GA | 300435925 |
1942512959 | GOODNO | HARRISON | B |   | 1900 RIVERSIDE PKWY | LAWRENCEVILLE | GA | 300435925 |
1871593285 | LEVENGOOD | GARY | A |   | 1900 RIVERSIDE PKWY | LAWRENCEVILLE | GA | 300435925 |
1285108183 | POLASCIK | CHRISTOPHER |   |   | 1900 RIVERSIDE PKWY | LAWRENCEVILLE | GA | 300435925 |
1609899558 | POLASCIK | MICHAEL | ANDREW |   | 1900 RIVERSIDE PKWY | LAWRENCEVILLE | GA | 300435925 |
1629245055 | SELLARS | CHRISTOPHER | ROBERT |   | 1900 RIVERSIDE PKWY | LAWRENCEVILLE | GA | 300435925 |