| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1982069993 | BOLTON | SARAH | CATHERINE | PO BOX 602658 | CHARLOTTE | NC | 282602658 | |
| 1396163481 | EYADIEL | CYRIL | PO BOX 602658 | CHARLOTTE | NC | 282602658 | ||
| 1114919727 | KISTNER | LISA | M | 1930 PEACE HAVEN RD | WINSTON SALEM | NC | 271064817 |