NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1407174675 |   |   |   | GOOD SAMARITAN HEALTH & WELLNESS CENTER | 175 SAMARITAN DR | JASPER | GA | 301431964 |
1497066518 | WILSON | CHARLES | OMAR |   | 747 REDFIELD WAY | JASPER | GA | 30143 |