| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1932117660 | VARNAM FAMILY WELLNESS CENTER, LLC | 712 VILLAGE RD | SHALLOTTE | NC | 284703448 | |||
| 1588906242 | ELLEN | KRISTINA | NICOLE | 712 VILLAGE RD SW | SHALLOTTE | NC | 284703448 | |
| 1922075910 | VARNAM | DEBORAH | COGGINS | 712 VILLAGE RD | SHALLOTTE | NC | 28470 |