NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1154774883 |   |   |   | EAGLES LANDING FAMILY PRACTICE, LLC | 145 EAGLES WALK | STOCKBRIDGE | GA | 302817340 |
1154899359 | COMAN | DELANEY |   |   | 145 EAGLES WALK STE A | STOCKBRIDGE | GA | 302817340 |
1982181640 | JOHNNICANS | TAMIKA |   |   | 145 EAGLES WALK STE A | STOCKBRIDGE | GA | 302817340 |
1972761732 | RAYNER | HANSEL | M |   | 145 EAGLES WALK | STOCKBRIDGE | GA | 302817340 |
1740578665 | SIDDIQUI | MUHAMMAD | FAISAL KHAN |   | 145 EAGLES WALK STE A | STOCKBRIDGE | GA | 302817340 |
1700334612 | SUGARMAN | SAMANTHA |   |   | 145 EAGLES WALK | STOCKBRIDGE | GA | 302817340 |