| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1659440907 | EASTERS | KENNETH | SCOTT | | 1120 15TH STREET | AUGUSTA | GA | 30912 |
| 1912574567 | HODGEMAN | RYAN | MULLINS | | 1120 15TH ST # AF-2039 | AUGUSTA | GA | 309120004 |
| 1033569058 | KAMINECKI | INNA | | | 1120 15TH ST | AUGUSTA | GA | 309120004 |
| 1417686858 | LYON | SAMUEL | STAFFORD | | 1120 15TH ST | AUGUSTA | GA | 309120004 |
| 1306468962 | MAHON | SAMANTHA | LEIGH | | 1120 15TH ST # AF-1016 | AUGUSTA | GA | 309120006 |
| 1649628678 | MCNUTT | RICHARD | STANLEY | | 1120 15TH ST | AUGUSTA | GA | 309120004 |
| 1700349966 | PALASZ | DANIEL | ANTHONY | | 1120 15TH ST # OR6000 | AUGUSTA | GA | 309120004 |
| 1841724333 | RAMIREZ-CUEVA | FATIMA ANGELICA | | | 1120 15TH ST # AF-2044 | AUGUSTA | GA | 309120006 |
| 1265057590 | RIVERS | JONATHAN | DAVID | | 1120 15TH ST # AF-1016 | AUGUSTA | GA | 309120006 |
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