| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1811511959 | BELT | RODERICK | ARLANDUS | 5617 PRINCETON AVE | COLUMBUS | GA | 319043480 | |
| 1811629181 | FOWLER | MECHELLE | LORRAINE | 5617 PRINCETON AVE | COLUMBUS | GA | 319043480 | |
| 1972127488 | ROMANELLO | VICTORIA | 5617 PRINCETON AVE | COLUMBUS | GA | 319043480 | ||
| 1730703174 | WOLF | CAROLE | 5617 PRINCETON AVE | COLUMBUS | GA | 319043480 |