| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1861419426 | ALAKULPPI | MIKA | P | 3527 N VALDOSTA RD | VALDOSTA | GA | 316026418 | |
| 1023219672 | STIEFEL | ERIC | C. | 3527 N VALDOSTA RD | VALDOSTA | GA | 316026418 | |
| 1720633803 | TAYLOR | ANDREW | 3527 N VALDOSTA RD | VALDOSTA | GA | 316026418 |