NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1124679014 |   |   |   | TIFT REGIONAL HEALTH SYSTEM INC | PO BOX 2650 | TIFTON | GA | 317932650 |
1902005689 |   |   |   | LORA FULP EFAW MD PC | 1807 OLD OCILLA RD | TIFTON | GA | 317941617 |
1982094298 | DORMAN | DEIDRE | CELESTE |   | 907 18TH ST E STE 400 | TIFTON | GA | 317943684 |
1952875122 | GOODWIN | TESSAMY | LYNNE |   | 276 SUTTON RD | TIFTON | GA | 317942221 |
1275979361 | RICHARDSON | KATHLEEN |   |   | 4111 1ST AVE | NITRO | WV | 251431345 |