NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1093725327 |   |   |   | NORTHEAST GEORGIA ORTHOPAEDICS & SPORTS MEDICINE, LLC | 655 JESSE JEWELL PKWY SE | GAINESVILLE | GA | 305013722 |
1427079185 |   |   |   | NORTHEAST GEORGIA ORTHOPAEDICS & SPORTS MEDICINE, LLC | 655 JESSE JEWELL PKWY SE | GAINESVILLE | GA | 305013722 |