NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1174104657 |   |   |   | ACCESS MEDICAL CLINIC GEORGIA LLC | 4196 HIGHWAY 62 412 STE A | HARDY | AR | 725428002 |
1588316053 | MONTGOMERY | LAQUANTA |   |   | 4196 HIGHWAY 62 412 STE A | HARDY | AR | 725428002 |