| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1801817747 | BOUDREAUX | CHERYL | ANN | 2188 HIGHWAY 36 E | JACKSON | GA | 302333310 | |
| 1538271820 | LOUPE | DONNA | N | 1670 CLAIRMONT RD | DECATUR | GA | 300334004 | |
| 1962684480 | REIL | RAY | VINCENT | 1670 CLAIRMONT RD | DECATUR | GA | 300334004 | |
| 1770512899 | URKEN | STEVEN | IRA | 1258 REEDER CIR NE | ATLANTA | GA | 303062269 |