| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1457662819 | BAKER | NEAL | JORDAN | 401 N MAIN ST | KENANSVILLE | NC | 283498801 | |
| 1457608788 | BARRETT | NATHANIEL | M | 401 N MAIN ST | KENANSVILLE | NC | 283498801 | |
| 1356576144 | CAMPBELL | JONATHAN | M | 401 N MAIN ST | KENANSVILLE | NC | 283498801 | |
| 1639176829 | SANMIGUEL | EDUARDO | 401 N MAIN ST | KENANSVILLE | NC | 283498801 |