NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1366519530 |   |   |   | PROVIDENT HEALTH SERVICES, INC. | PO BOX 933213 | ATLANTA | GA | 311931968 |
1497822324 |   |   |   | MPPG, INC. | 4750 WATERS AVE | SAVANNAH | GA | 314046200 |
1760541080 |   |   |   | MPPG, INC. | 14 OKATIE CENTER BLVD S | OKATIE | SC | 299097506 |
1588032817 | ALLMAN | MICHAEL |   |   | 1053 CENTER STREET | WEST COLUMBIA | SC | 29169 |
1104044700 | BALTHROP | PAUL | MATTHEW |   | 4750 WATERS AVE STE 202 | SAVANNAH | GA | 314046278 |
1508898743 | BECK | ANGELA | NIEDBALA |   | 4700 WATERS AVE | SAVANNAH | GA | 314046220 |
1538168109 | BECKWORTH | JILL | KATRICE |   | 4750 WATERS AVE | SAVANNAH | GA | 314046200 |
1538563408 | BREWSTER | REBECCA |   |   | 4750 WATERS AVE | SAVANNAH | GA | 314046200 |
1932131190 | BROMBERG | WILLIAM | JAMES |   | 4750 WATERS AVE | SAVANNAH | GA | 314046200 |
1992737050 | DAVIS | FRANK | ETHERIDGE |   | 4750 WATERS AVE | SAVANNAH | GA | 314046200 |
1114147303 | DENLINGER | CRAIG | WESLEY |   | 4750 WATERS AVE STE 202 | SAVANNAH | GA | 314046278 |
1497746754 | DUNNE | JAMES | R. |   | 4750 WATERS AVE STE 202 | SAVANNAH | GA | 314046278 |
1871978148 | ETHERIDGE | BLANCHE | L. |   | 4750 WATERS AVE | SAVANNAH | GA | 314046200 |
1740225499 | FONSECA | ALVARO | HUMBERTO |   | 4750 WATERS AVE | SAVANNAH | GA | 314046200 |
1376839480 | GAGE | ALEXIS | MARY |   | 4750 WATERS AVE | SAVANNAH | GA | 314046200 |
1356670350 | HAZEL | GINA | OETGEN |   | 4750 WATERS AVE STE 202 | SAVANNAH | GA | 314046278 |
1003216045 | KEHRLI | JACKIE | M |   | 4750 WATERS AVE STE 202 | SAVANNAH | GA | 314046278 |
1164454328 | LEWIS | WENDY | ELIZABETH |   | 106 HILLSIDE DR | RINCON | GA | 313264852 |
1114979465 | LYONS | ELLA | CATHERINE |   | 4750 WATERS AVE | SAVANNAH | GA | 314046200 |
1346393279 | MACNEW | HEATHER | G. |   | 4750 WATERS AVE STE 202 | SAVANNAH | GA | 314046278 |
1629492947 | MERRELL | HANNAH |   |   | 4750 WATERS AVE STE 202 | SAVANNAH | GA | 314046278 |
1871974923 | MILBY | JOSHUA |   |   | 4750 WATERS AVE | SAVANNAH | GA | 314046200 |
1992917991 | OTT | MICKEY | MEILINGER |   | 4750 WATERS AVE STE 202 | SAVANNAH | GA | 314046278 |
1023244803 | PENA | ERICA | DENISE |   | 4815 ALAMEDA AVE | EL PASO | TX | 799052705 |
1033313788 | RAINIER | PAUL | CHARLES |   | 43 WHITING HILL RD SUITE 300 | BREWER | ME | 044121005 |
1699135848 | TALLES-ERIKSEN | JESSICA | R. |   | 4750 WATERS AVE STE 202 | SAVANNAH | GA | 314046278 |