| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1174095434 | COLWELL | SHELLEY | 2225 US HIGHWAY 41 N | TIFTON | GA | 317942749 | ||
| 1679043830 | DREW | LINDSAY | 2225 US HIGHWAY 41 N | TIFTON | GA | 317942749 | ||
| 1760969018 | TAPP | CLAYTON | ROSS | 12294 HIGHWAY 41 | SPARKS | GA | 316476520 |