| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1891126553 | AYLOR | TERESA | LYNN | 4745 WOODLARK LN | CHARLOTTE | NC | 282112259 | |
| 1376731158 | BRADLEY | RONNIE | JOE | 145 REMOUNT RD | CHARLOTTE | NC | 282035013 | |
| 1356711246 | GUY | JERRY | WAYNE | 515 CLANTON RD | CHARLOTTE | NC | 282171309 | |
| 1306232442 | MARTINEZ | EMPERATRIZ | 515 CLANTON RD | CHARLOTTE | NC | 282171309 |