| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1003801895 | CRICK | MARK | P | 1449 BRAMPTON AVE | STATESBORO | GA | 304580854 | |
| 1255536447 | HALL | SHANNON | 1449 BRAMPTON AVE | STATESBORO | GA | 304580854 | ||
| 1336345487 | POWELLSON | MATTHEW | DANIEL | 1449 BRAMPTON AVE | STATESBORO | GA | 304580854 |