| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1568094449 | ANDERSON | EMANUEL | MALIK | 410 E CHURCH ST | FORT VALLEY | GA | 310303097 | |
| 1215477187 | COOK | GERALD | JEROME | 410 EAST CHURCH STREET | FORT VALLEY | GA | 31030 | |
| 1790328649 | MCCALVIN | KALI | 410 E CHURCH ST | FORT VALLEY | GA | 310303097 | ||
| 1902345440 | MCWILLIAMS | SHAVON | 410 E CHURCH ST | FORT VALLEY | GA | 310303097 | ||
| 1871568550 | WINTER | PATRICIA | S | 940 A GA HWY 96 | WARNER ROBINS | GA | 31088 |