| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1447339015 | SOUTHERN MEDICAL GROUP | 601 S. VETERANS BLVD | GLENNVILLE | GA | 30427 | |||
| 1871677880 | SOUTHERN MEDICAL GROUP | PO BOX 217 | CLAXTON | GA | 304170217 | |||
| 1831421908 | DAUS | KELLY | E | 601 S VETERANS BLVD | GLENNVILLE | GA | 304271775 | |
| 1235213158 | SCOTT | JESSE | B | 601 S VETERANS BLVD | GLENNVILLE | GA | 304271775 | |
| 1265515019 | THOMPSON | PAUL | W | 601 S VETERANS BLVD | GLENNVILLE | GA | 304271775 |