NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1205955028 | BETHANCOURT-HARRIS | EDNA | MAE |   | 3100 LAWRENCEVILLE HWY | TUCKER | GA | 300847127 |
1568630416 | LE ROUX | CHRISTOFFEL | ERASMUS |   | 1670 CLAIRMONT RD | DECATUR | GA | 300334004 |
1366472672 | SHULTZ | ROSALIE | KAYE |   | 1535 HARBOUR OAKS RD | TUCKER | GA | 300847954 |
1972510519 | STEMBRIDGE | MELODIE | W. |   | POB 4695 | FAYETTEVILLE | AR | 72702 |