| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1235554346 | BANARES | JULIE | BETH | 1955 LAKE PARK DR SE | SMYRNA | GA | 300808858 | |
| 1568405199 | DAHL | CAROL | W | 1955 LAKE PARK DR | SMYRNA | GA | 30080 | |
| 1508805573 | PELTIER | GORDON | J | 1955 LAKE PARK DR | SMYRNA | GA | 30080 |