ProviderBusinessMailingAddressFaxNumber = '4232243215'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1184201584 | BASS | DEREK | RUSSELL | | 130 W RAVINE RD STE 9C | KINGSPORT | TN | 376603837 |
| 1740662998 | BYRD | CARL | L | | 1040 GULF BREEZE PKWY | GULF BREEZE | FL | 325617808 |
| 1922635119 | CHESHIRE | KEVIN | | | 130 W RAVINE RD STE 9C | KINGSPORT | TN | 376603837 |
| 1174273767 | HOLLEY | KATIE | WARD | | 130 W RAVINE RD STE 9C | KINGSPORT | TN | 376603837 |
| 1851034417 | PRICE | BENJAMIN | JAMES | | 130 W RAVINE RD STE 9C | KINGSPORT | TN | 376603837 |
| 1598347056 | SMITH | BENJAMIN | ROY | | 130 W RAVINE RD STE 9C | KINGSPORT | TN | 376603837 |
| 1093342883 | TARIS | ERIC | SCOTT | | 130 W RAVINE RD STE 9C | KINGSPORT | TN | 376603837 |
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