NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1174003461 | DAUSH | LACEY |   |   | 2280 HIGHWAY 29 N | NEWNAN | GA | 302651031 |
1013568757 | FAMILLEZA | BRIER ROSE |   |   | 2280 HIGHWAY 29 N | NEWNAN | GA | 302651031 |
1376653899 | POITEVINT | THAD |   |   | 2280 HIGHWAY 29 N | NEWNAN | GA | 302651031 |