NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1013658467 |   |   |   | OMEGA PHYSICIAN PRACTICE LLC | 3927 CONCORD WALK DR SE | SMYRNA | GA | 300823659 |
1275996787 |   |   |   | MAK ANESTHESIA DIRECT SERVICES LLC | 1635 OLD 41 HWY NW | KENNESAW | GA | 301524480 |
1386028744 |   |   |   | MAK ANESTHESIA, LLC | 1635 OLD 41 HWY NW STE 112-328 | KENNESAW | GA | 301524480 |
1609390103 |   |   |   | MAK ANESTHESIA NORTHSIDE AFFILIATES, LLC | 1635 OLD 41 HWY. NW | KENNESAW | GA | 30152 |
1659960276 |   |   |   | FORTIS HEALTH, LLC | 1300 RIDENOUR BLVD NW STE 300 | KENNESAW | GA | 301524402 |
1912452939 |   |   |   | MAK ANESTHESIA HOLDINGS LLC | 1300 RIDENOUR BLVD NW STE 300 | KENNESAW | GA | 301524402 |
1225024409 | BALAOING | WILMER | M |   | 150 LULLWATER CT | ROSWELL | GA | 300756756 |
1548866114 | BRADLEY | SHANA | BROOKE |   | 885 MABLE LAKE RD | CUMMING | GA | 300418575 |
1083872782 | CHATRATH | MONIKA |   |   | PO BOX 64374 | BALTIMORE | MD | 212644374 |
1134182728 | DEMARINO | FRANK |   |   | PO BOX 155 | AUSTELL | GA | 301681002 |
1376785600 | DOORNBOS | GRANT | ADAM |   | 3804 GLENGARRY WAY NE | ROSWELL | GA | 300752615 |
1992257943 | FOUTS | MARK |   |   | 1621 N ROBERTS RD NW STE 110 | KENNESAW | GA | 301443640 |
1487012167 | HARRIS | CAROLINE | E |   | 3705 MEDICAL PKWY | AUSTIN | TX | 787051019 |
1679993653 | HILL | LAUREN | FRANCIS |   | 101 E ROMANA ST APT 352 | PENSACOLA | FL | 325025851 |
1194119479 | JACKSON | KAREN | ASHLEY |   | 1611 NW 12TH AVE | MIAMI | FL | 331361005 |
1174937320 | JEAN-PIERRE | DAISY |   |   | PO BOX 681789 | FRANKLIN | TN | 370681789 |
1538892146 | KABASE | SARAH | JORDAN |   | 1300 RIDENOUR BLVD NW STE 300 | KENNESAW | GA | 301524402 |
1134778939 | MCDERMOTT | KAELI | SURILLA |   | 21 SHERMAN LN NW | CARTERSVILLE | GA | 301214957 |
1184859340 | RACHAL | HENRY |   |   | PO BOX 201088 | HOUSTON | TX | 772161088 |
1710553474 | RANDALL | JESSICA | HATFIELD |   | 465 OLD CREEK RD | ATLANTA | GA | 303422755 |
1235728353 | REYNOLDS | SHEA | ELIZABETH |   | 1300 RIDENOUR BLVD NW STE 300 | KENNESAW | GA | 301524402 |
1558672782 | RICKETTS | ISABELLA | ZITA |   | 1300 RIDENOUR BLVD NW | KENNESAW | GA | 301524501 |
1083677314 | RUBIN | TOD |   |   | PO BOX 155 | AUSTELL | GA | 301681002 |
1619583267 | SAINDON | BRADLEY | RICHARD |   | 1300 RIDENOUR BLVD NW STE 300 | KENNESAW | GA | 301524402 |
1922729128 | SILVA | MADELINE | ALYCE |   | 1857 SHILOH VALLEY WAY NW | KENNESAW | GA | 301443145 |
1831869544 | SKULSKAYA | OLEXANDRA |   |   | 10 EXECUTIVE PARK WEST NE UNIT 428 | ATLANTA | GA | 303292310 |
1619449618 | SNOW | WHITNEY | NICOLE |   | 1185 COLLIER RD NW APT 2529 | ATLANTA | GA | 303188293 |