NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1457563447 |   |   |   | PREMIER IMAGE COSMETIC & LASER SURGERY | 4553 N SHALLOWFORD ROAD | ATLANTA | GA | 30338 |
1649486796 |   |   |   | NORTHSIDE DUNWOODY OUTPATIENT SURGERY CENTER | 4553 N SHALLOWFORD RD | DUNWOODY | GA | 303386408 |
1750709770 | DARAEI | PAUL | PEDRAM |   | PO BOX 734315 | DALLAS | TX | 753734315 |
1851486955 | DEJOSEPH | LOUIS | MICHAEL |   | 6085 BARFIELD ROAD NORTHEAST SUITE 100 | ATLANTA | GA | 30328 |
1952568370 | SOARES | DANNY | JOSE |   | 1402 AZALEA GARDEN DR | DUNWOODY | GA | 303387909 |