NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1952465056 |   |   |   | PREMISE HEALTH OF GEORGIA MEDICAL, P.C. | 5500 MARYLAND WAY | BRENTWOOD | TN | 370274948 |
1124241831 | SMITH | TINA | CARITA |   | PO BOX 230 | CORNELIA | GA | 305310230 |