ProviderBusinessMailingAddressFaxNumber = '2298919567'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1205199437 | BEAVERS | JOSEPH | B | | PO BOX 2138 | MOULTRIE | GA | 317762138 |
| 1679696595 | BROWN | CATHERINE | ANN COOMER | | PO BOX 2138 | MOULTRIE | GA | 317762138 |
| 1003033135 | CARDWELL | JARED | KENT | | PO BOX 2138 | MOULTRIE | GA | 317762138 |
| 1952792392 | JOHNSON | TAMARA | MARQUITA | | PO BOX 2138 | MOULTRIE | GA | 317762138 |
| 1720493703 | KABANGE | WITEMBA | | | PO BOX 2138 | MOULTRIE | GA | 317762138 |
| 1104984871 | KELLEY | MICHAEL | A | | PO BOX 2138 | MOULTRIE | GA | 317762138 |
| 1255760757 | MYRTIL | ERICK | | | PO BOX 2138 | MOULTRIE | GA | 317762138 |
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