| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1245706894 | ILIE | LUMINITA | 175 GWINNETT DR | LAWRENCEVILLE | GA | 300468444 | ||
| 1992352389 | JOHNSON | LACREATIA | ROXANNE | 175 GWINNETT DR | LAWRENCEVILLE | GA | 300468444 | |
| 1275180663 | OPPONG | BENJAMIN | 175 GWINNETT DR | LAWRENCEVILLE | GA | 300468444 |