| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1003184433 | BURKHARDT | KEVIN | P | 149 PLANTATION RIDGE DR | MOORESVILLE | NC | 281179174 | |
| 1235757220 | DANNEKER | NATHAN | FORREST | 149 PLANTATION RIDGE DR STE 190 | MOORESVILLE | NC | 281179178 | |
| 1437154093 | HULL | JENNIFER | MARIE | 149 PLANTATION RIDGE DR | MOORESVILLE | NC | 281179174 | |
| 1396728804 | LEWIS | ROY | SHELDON | 149 PLANTATION RIDGE DR. | MOORESVILLE | NC | 281179174 |