NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1558710376 |   |   |   | PROVIDENCE PHYSICIAN PRACTICES LLC | 114 GATEWAY CORPORATE BLVD | COLUMBIA | SC | 292039740 |
1104811355 | HOLMES | LOUISE | C. |   | PO BOX 402145 | ATLANTA | GA | 303842145 |
1841876554 | SMITH | KRISTEN | N |   | PO BOX 530062 | ATLANTA | GA | 303530062 |