| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1174986186 | ASBURY | SHANNON | BROCK | 2410 SUSANNAH STREET | JOHNSON CITY | TN | 37601 | |
| 1669833265 | BOX | AUSTIN | COY | 2410 SUSANNAH STREET | JOHNSON CITY | TN | 37601 | |
| 1497237416 | MCFADDIN | MICAH | A | 2410 SUSANNAH ST | JOHNSON CITY | TN | 376011748 |