| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1710182605 | FLANDERS | AARON | W | 3696 WHEELER RD | AUGUSTA | GA | 309096520 | |
| 1023600749 | GILLEN | LAURA | 3696 WHEELER RD | AUGUSTA | GA | 309096520 | ||
| 1386901288 | TAYLOR | DANIELLE | LYNN | 3696 WHEELER RD | AUGUSTA | GA | 309096520 |