| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1992703193 | BROMER | RICHARD | HARRIS | 3696 WHEELER ROAD | AUGUSTA | GA | 30909 | |
| 1710182605 | FLANDERS | AARON | W | 3696 WHEELER RD | AUGUSTA | GA | 309096520 | |
| 1255930806 | WOLBERT | NICOLE | PAIGE | 3696 WHEELER RD | AUGUSTA | GA | 309096520 |