| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1104874429 | CANADAY | BTUCE | ROBERT | 2131 S 17TH ST | WILMINGTON | NC | 284017407 | |
| 1295739647 | CLANCY | THOMAS | V | 2131 S 17TH ST | WILMINGTON | NC | 284017407 | |
| 1811992290 | HAGE | MARVIN | L | 2131 S 17TH ST | WILMINGTON | NC | 284017407 | |
| 1124023528 | KOTWALL | CYRUS | A | 2131 S 17TH ST | WILMINGTON | NC | 284017407 | |
| 1780681841 | PASQUARETTE | MARK | M | 2131 S 17TH ST | WILMINGTON | NC | 284017407 | |
| 1164420212 | POWELL | JOHN | L | 2131 S 17TH ST | WILMINGTON | NC | 284017407 | |
| 1851435788 | THRASHER | KIMBERLY | A. | 2131 S 17TH ST | WILMINGTON | NC | 284017407 |