| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1952591067 | FARHAD | BAMDAD | 416 E 4TH AVE STE A | CORDELE | GA | 310153729 | ||
| 1689646457 | PANNELL | WILLIAM | P | 416 E 4TH AVE STE A | CORDELE | GA | 310153729 | |
| 1356789473 | REGISTER | ALICIA | ROBERTS | 1329 N 5TH STREET EXT | CORDELE | GA | 310153753 | |
| 1184732521 | THOMPSON | MICHAEL | CLAYTON | 416 E 4TH AVE STE A | CORDELE | GA | 310153729 |