NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1982091294 |   |   |   | HARBIN CLINIC, LLC | 1825 MARTHA BERRY BLVD NW | ROME | GA | 301651625 |
1548671472 | FOUNTAIN | KATIE | DIANA |   | PO BOX 911589 | DENVER | CO | 802911589 |
1295721629 | KEEFE | BRIAN | THOMAS |   | 1825 MARTHA BERRY BLVD NW | ROME | GA | 301651625 |
1992720155 | YOUNG | JAMES | ARTHUR |   | 1825 MARTHA BERRY BLVD NW | ROME | GA | 301651625 |