| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1558993576 | BLACKWELDER | ROBERT | STEVEN | 1120 15TH ST | AUGUSTA | GA | 309120004 | |
| 1235622804 | GUYTON | WILLIAM | SIDNEY | 1120 15TH ST | AUGUSTA | GA | 309120004 | |
| 1093446726 | SERBINOWSKI | EMILY | CARR | 1120 15TH ST | AUGUSTA | GA | 309120004 | |
| 1114038148 | TUCKER | JENNIFER | E | 1499 WALTON WAY | AUGUSTA | GA | 309012602 |