| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1396095907 | FADDEN | ANITA | ELLEN | 665 W. 4TH STREET | WINSTON SALEM | NC | 27101 | |
| 1710234695 | JONES | COURTNEY | ROBINSON | 665 W 4TH ST | WINSTON SALEM | NC | 271012701 | |
| 1366799181 | RICE | WILLIAM | R | 665 W 4TH ST | WINSTON SALEM | NC | 271012701 | |
| 1013264902 | SHEPHERD | RHONDA | L. | 665 W 4TH ST | WINSTON SALEM | NC | 271012701 |