| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1043440340 | | | | CARECONNECT HEALTH, INC. | P.O. BOX 5610 | CORDELE | GA | 310101514 |
| 1679122501 | ALLEN | BAMBI | IVEY | | 817 GRIFFIN AVE | EASTMAN | GA | 310236718 |
| 1710920426 | CRUZ-MARTINEZ | DRISDE | ISABEL | | 817 GRIFFIN AVE | EASTMAN | GA | 310236718 |
| 1578906012 | FERGUSON | WILFRED | PRESTON | | 725 LEGION DR | EASTMAN | GA | 310236780 |
| 1407597818 | GARRETT | WHITNEY | WARD | | 1462 SAINT MARK RD | DUBLIN | GA | 310217310 |
| 1962072017 | MABO | DONICIA | RAILEY | | 817 GRIFFIN AVE | EASTMAN | GA | 310236718 |
| 1801902143 | RIOS-CORUJO | WALTER | | | 817 GRIFFIN AVE | EASTMAN | GA | 310236718 |
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