| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1932180106 | DAVIS | MARISSA | K | 2204 PAVILION DR | KINGSPORT | TN | 376604657 | |
| 1902088644 | DENHAM | JAMES | W | 2204 PAVILION DR | KINGSPORT | TN | 376604657 | |
| 1518289206 | GAITHER | JAMES | BRADLEY | 2204 PAVILION DR | KINGSPORT | TN | 376604657 | |
| 1265486914 | WOODARD | SCOTT | C | 2204 PAVILION DR | KINGSPORT | TN | 376604657 |