| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1174154421 | SOUTHEASTERN UROGYNECOLOGY AND PELVIC SURGERY LLC | PO BOX 2876 | MOULTRIE | GA | 317762876 | |||
| 1992468482 | PREMIER UROGYNECOLOGY OF TALLAHASSEE | PO BOX 2876 | MOULTRIE | GA | 317762876 | |||
| 1457758419 | BLEASE | AMBER | BROOKE | PO BOX 3233 | MOULTRIE | GA | 317763233 | |
| 1588328199 | HURST | ANGELA | DENISE | PO BOX 1266 | MOULTRIE | GA | 317761266 | |
| 1588982151 | WILLIAMS | CHEAU | EUGENE | 1 MAGNOLIA COURT | MOULTRIE | GA | 317686764 |