NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1063078749 |   |   |   | IMPACT PHYSICIAN GROUP, OHIO LLC | 21 EASTBROOK BND STE 218 | PEACHTREE CITY | GA | 302691546 |
1619569688 | ALLEN | ABIGAIL |   |   | 21 EASTBROOK BND STE 218 | PEACHTREE CITY | GA | 302691546 |
1447540943 | CHOUDHURY | SAIF | M |   | 21 EASTBROOK BND STE 218 | PEACHTREE CITY | GA | 302691546 |
1235737081 | ERDMAN | JENNIFER |   |   | 21 EASTBROOK BND STE 218 | PEACHTREE CITY | GA | 302691546 |