| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1710920426 | CRUZ-MARTINEZ | DRISDE | ISABEL | 817 GRIFFIN AVE | EASTMAN | GA | 310236718 | |
| 1578906012 | FERGUSON | WILFRED | PRESTON | 725 LEGION DR | EASTMAN | GA | 310236780 | |
| 1962072017 | MABO | DONICIA | RAILEY | 817 GRIFFIN AVE | EASTMAN | GA | 310236718 | |
| 1801902143 | RIOS-CORUJO | WALTER | 817 GRIFFIN AVE | EASTMAN | GA | 310236718 |