NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1962041368
AMERITA SOUTH ATLANTIC LLC
6912 S QUENTIN ST STE 50
CENTENNIAL
CO
801124531
1609401645
FOULKS
KRISTEN
N
4001 PIEDMONT PKWY STE 150
HIGH POINT
NC
272659402
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