NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1538655683
PEACHTREE IMMEDIATE CARE FP, LLC
1275 HIGHWAY 54 W STE 201
FAYETTEVILLE
GA
302144538
1427511260
MULLINIKS
JOHNNY
GLENN
418 FOOT LOG LN
HOGANSVILLE
GA
302301145
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