NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1548245970 | LORD | TAMMIE | M |   | 2121A BELLEVUE RD | DUBLIN | GA | 310212998 |
1790760825 | MANN | PHYLLIS | MARY |   | 2851 ROZAR GOOLSBY RD | EASTMAN | GA | 310232225 |
1538146543 | SMITH | DENISE | N |   | 2121 BELLEVUE RD | DUBLIN | GA | 310212952 |
1437134871 | TYSON | GEORGE | RICHARD |   | 2121A BELLEVUE RD | DUBLIN | GA | 310212998 |