| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1467481366 | BRITTON | REIGN | WILSON | 1804 HIGHWAY 45 BYP | JACKSON | TN | 383054436 | |
| 1023040284 | MCCORD | JEFFREY | S | 1804 HIGHWAY 45 BYP | JACKSON | TN | 383054436 | |
| 1265461164 | TODD | KATHY | A | 1804 HIGHWAY 45 BYP | JACKSON | TN | 383054436 | |
| 1982636049 | TODD | KELLY | LEE | 1804 HIGHWAY 45 BYP | JACKSON | TN | 383054436 |