| NPI |
Provider Name |
Address |
Type |
| 1265517767 | WAL-MART STORES EAST, LP | 4221 ATLANTA HWY
LOGANVILLE, GA
ZIP 30052
Phone: (770) 554-7481
| Organization |
| 1710745245 | PRISCILLA DIAZ | 4221 ATLANTA HWY
LOGANVILLE, GA
ZIP 30052
Phone: (770) 554-3360
| Individual |
| 1518725407 | JACQUELINE LEE LIGHT, LDO | 4221 ATLANTA HWY
LOGANVILLE, GA
ZIP 30052
Phone: (770) 554-3360
| Individual |
| 1336907211 | JONATHAN MULLINS | 4221 ATLANTA HWY
LOGANVILLE, GA
ZIP 30052
Phone: (770) 554-3360
| Individual |
| 1699533216 | ASHLEY THAO | 4221 ATLANTA HWY
LOGANVILLE, GA
ZIP 30052
Phone: (770) 554-3360
| Individual |