| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1811191455 | CLEMENT | JEFFREY | PAYNE | 4601 PARK RD | CHARLOTTE | NC | 282093239 | |
| 1235387689 | CROOKS | TANYA | M | 4601 PARK RD | CHARLOTTE | NC | 282093239 | |
| 1801449236 | MOORE | HANNA | ELIZABETH | 4601 PARK RD STE 300 | CHARLOTTE | NC | 282092290 |