| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1497380497 | LICCARDO | KATHRYN | DELUISE | PO BOX 658 | GAINESVILLE | GA | 305030658 | |
| 1013997444 | PUTNAM | LAURA | FRANTZ | PO BOX 658 | GAINESVILLE | GA | 305030658 | |
| 1619947769 | SHELTON | RICHARD | RUSSELL | PO BOX 658 | GAINESVILLE | GA | 305030658 |