NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1194974758 |   |   |   | PUBLIX TENNESSEE LLC | PO BOX 639680 | CINCINNATI | OH | 452639680 |
1003154469 | CAMPBELL | CHARLES | ALFRED |   | 11207 LEBANON RD | MOUNT JULIET | TN | 371225545 |
1003153164 | NGO | YEN | KIM |   | 11207 LEBANON RD | MOUNT JULIET | TN | 371225545 |