| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1033109194 | BOYD | TIMOTHY | ALLEN | 4601 PARK RD | CHARLOTTE | NC | 282093239 | |
| 1548821366 | BRASWELL | CARISSA | BELLE | 4601 PARK RD STE 300 | CHARLOTTE | NC | 282092290 | |
| 1750967774 | SHEETS | COURTNEY | PAIGE | 4601 PARK RD STE 300 | CHARLOTTE | NC | 282092290 |