| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1063078749 | IMPACT PHYSICIAN GROUP, OHIO LLC | 21 EASTBROOK BND STE 218 | PEACHTREE CITY | GA | 302691546 | |||
| 1619569688 | ALLEN | ABIGAIL | 21 EASTBROOK BND STE 218 | PEACHTREE CITY | GA | 302691546 | ||
| 1912520156 | GAIM | SELLAMAWIT | 3128 CANNOCK LN | COLUMBUS | OH | 432193000 | ||
| 1972142776 | TANNA | LAUREN | 24075 COMMERCE PARK | BEACHWOOD | OH | 441225846 |