NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1144719808 |   |   |   | TN PREMIER CARE LLC | 3609 OUTDOOR SPORTSMAN PL STE 7 | KODAK | TN | 377641477 |
1487081758 |   |   |   | TN PREMIER CARE LLC | 3609 OUTDOOR SPORTSMAN PL STE 7 | KODAK | TN | 377641477 |
1104364918 | TREADAWAY | URSULA |   |   | PO BOX 3439 | NORTH MYRTLE BEACH | SC | 295820439 |