NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1831501048 | BALKEMA | CASEY | LEWIS |   | 677 CHURCH ST NE | MARIETTA | GA | 300601101 |
1235460213 | BEYENE | TESFAYE | K |   | 677 CHURCH ST NE | MARIETTA | GA | 300601101 |
1396009882 | DINKU | ETALEMAHU |   |   | 677 CHURCH STREET, BOX 111 | MARIETTA | GA | 300602440 |
1952667917 | PATEL | NIRAV | RASIKBHAI |   | 677 CHURCH ST NE | MARIETTA | GA | 300601101 |