| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1386638849 | HOLLAND | WALTER | BOWLIN | 3001 S CHIPLEY FORD RD | STATESVILLE | NC | 286258121 | |
| 1558528000 | SABO | RACHEL | PECK | 6035 FAIRVIEW RD | CHARLOTTE | NC | 282103256 | |
| 1154301844 | SELF | CRAIG | S | 6035 FAIRVIEW RD | CHARLOTTE | NC | 282103256 | |
| 1790779254 | WARREN | BRENT | BLAIR | 6035 FAIRVIEW RD | CHARLOTTE | NC | 282103256 |