| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1053424598 | CULLER | MICHAEL | DEAN | 414 W LEBANON ST | MOUNT AIRY | NC | 270302954 | |
| 1629327341 | KILLION | AMANDA | BETH | 414 W LEBANON ST | MOUNT AIRY | NC | 270302954 | |
| 1245450402 | MARTIN | DEBORAH | KENNEDY | 414 W LEBANON ST | MOUNT AIRY | NC | 270302954 | |
| 1114328077 | PUCKETT | STEPHANIE | 414 W LEBANON ST | MOUNT AIRY | NC | 270302954 | ||
| 1962136465 | SIMMONS | JOSHUA | PAUL | 414 W LEBANON ST | MOUNT AIRY | NC | 270302954 | |
| 1710629183 | SMITH | AMY | CREWS | 414 W LEBANON ST | MOUNT AIRY | NC | 270302954 |