NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1780908228 |   |   |   | MIRACLE HEALTHCARE LLC | 649B W MCNEAL ST | BOLIVAR | TN | 380082519 |
1346565629 | LAX | KASEY |   |   | PO BOX 400 | JACKSON | TN | 383020400 |
1194118588 | MCINTYRE | ANNA |   |   | 622 W MARKET STREET | BOLIVAR | TN | 380080846 |
1700447521 | RODRIGUEZ | ELIZABETH | M |   | 828 N PARKWAY | JACKSON | TN | 383053185 |