NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1265759609 | GODFREY | TAMMY |   |   | 636 SIGNAL HILL DRIVE EXT | STATESVILLE | NC | 286254774 |
1376959601 | KING | TRACI |   |   | 515 CLANTON RD | CHARLOTTE | NC | 282171309 |
1407262736 | LEWALLEN | CAROL |   |   | 515 CLANTON RD | CHARLOTTE | NC | 282171309 |