NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1306196027
PREMISE HEALTH OF GEORGIA MEDICAL, P.C.
5500 MARYLAND WAY
BRENTWOOD
TN
370274948
1285805986
AMINU
FOLAKE
T
584 LANIER PARK DR
GAINESVILLE
GA
305012000
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