NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1164069472 |   |   |   | SOUTHWELL AMBULATORY INC | 907 E 18TH STREET | TIFTON | GA | 317943684 |
1720625296 |   |   |   | SOUTHWELL AMBULATORY INC | 907 E 18TH STREET | TIFTON | GA | 317943684 |