| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1073510863 | HUDERLY | DEBERA | L | 262 LEROY GEORGE DR | CLYDE | NC | 287217430 | |
| 1255338026 | MITTELMAN | MARK | 5220 GREENS DAIRY RD | RALEIGH | NC | 276164612 | ||
| 1699774331 | RIESTER | CLIFFORD | 5220 GREENS DAIRY RD | RALEIGH | NC | 276164612 | ||
| 1528065802 | WILBUR | NILA | L | 934 UPPER CRABTREE RD | CLYDE | NC | 287217719 |