NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1083785349 |   |   |   | SOUTHERN FAMILY MEDICAL CENTER PC | 3736 MIKE PADGETT HWY STE A | AUGUSTA | GA | 309060720 |
1861874380 | DANIELS | LAUREN |   |   | 3736 MIKE PADGETT HWY STE A | AUGUSTA | GA | 309060720 |
1922027283 | GORE | JOHNATHAN | RICHARD |   | PO BOX 211550 | AUGUSTA | GA | 309171550 |
1316117468 | LAYNE | MARIAN |   |   | 3736 MIKE PADGETT HWY | AUGUSTA | GA | 309060719 |
1134142474 | LYNCH | SEAN | T |   | 3736 MIKE PADGETT HWY STE A | AUGUSTA | GA | 309060720 |
1336365063 | WHITTINGSLOW | EDWARD |   |   | 3736 MIKE PADGETT HWY | AUGUSTA | GA | 309060719 |
1427207422 | WIEME | THOMAS | J |   | 3736 MIKE PADGETT HWY | AUGUSTA | GA | 309060719 |