| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1467116772 | BECKTON | CARLA | 336 BROAD ST STE 203 | ROME | GA | 301613006 | ||
| 1376263053 | ROCHE | TREY | 336 BROAD ST STE 203 | ROME | GA | 301613006 | ||
| 1750503249 | TAGYE | AMY | LYNN | 11543 LAKE UNDERHILL RD | ORLANDO | FL | 328255001 |