| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1972011815 | PROACTIVE MSO, LLC | 124 ALLAWOOD CT | SIMPSONVILLE | SC | 296816207 | |||
| 1114574191 | HOLMES | JENNIFER | ASHLEY GOOCH | 2357 E STATE ROAD 48 | SHELBURN | IN | 478798084 | |
| 1992211965 | MARIETTA | MEGAN | ELIZABETH | 3487 S 4TH STREET | TERRE HAUTE | IN | 47802 |