NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1275050627 | BODO | LESLIE |   |   | 325 N STATE OF FRANKLIN RD | JOHNSON CITY | TN | 376046056 |
1679889356 | MOORHOUSE | AMANDA | S |   | PO BOX 70403 | JOHNSON CITY | TN | 376141703 |
1932861671 | PROSAK | MEREDITH | MCCOOK |   | 202 W FAIRVIEW AVE | JOHNSON CITY | TN | 376045611 |
1720550288 | WHITEHEAD | JENNIFER | LYN |   | 202 W FAIRVIEW AVE | JOHNSON CITY | TN | 376045611 |