| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1316122781 | DILLER | REBECCA | KAY | 3696 WHEELER RD | AUGUSTA | GA | 309096520 | |
| 1477996965 | LONG | EUGENE | MITCHELL | 3696 WHEELER RD | AUGUSTA | GA | 309096520 | |
| 1285831677 | WELLS | JEREMY | CLADY | 3696 WHEELER RD | AUGUSTA | GA | 309096520 |