| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1770558611 | BAKRI | YOUNES | N | 840 PINE ST | MACON | GA | 312012100 | |
| 1073589909 | EDDY | GARY | 840 PINE ST | MACON | GA | 312012100 | ||
| 1932191582 | GORDON | ALAN | N | 840 PINE ST | MACON | GA | 312012100 | |
| 1740579390 | JOHNSON | MARIAN | SYMMES | 3696 WHEELER RD | AUGUSTA | GA | 309096520 |