| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1487757928 | BARTOSH | ROBERT | ANDREW | 307 E 3RD AVE | CORDELE | GA | 310153208 | |
| 1023081437 | CULPEPPER | VINCENT | S | 307 E 3RD AVE | CORDELE | GA | 310153208 | |
| 1083168793 | DAVIS | BRADLEY | T | 910 N 5TH ST | CORDELE | GA | 310153254 | |
| 1114915618 | FORDYCE | JAMES | W. | 307 E 3RD AVE | CORDELE | GA | 310153208 |