| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1184785008 | BERTRAM | BRADLEY | ALAN | 1330 INTERSTATE PKWY | AUGUSTA | GA | 309095625 | |
| 1508927310 | BROWN | BRUCE | ALLEN | 1330 INTERSTATE PKWY | AUGUSTA | GA | 309095625 | |
| 1063467454 | FECHTER | HERBERT | PETER | 1330 INTERSTATE PKWY | AUGUSTA | GA | 309095625 | |
| 1093798993 | GARDNER | BEAU | 1330 INTERSTATE PKWY | AUGUSTA | GA | 309095625 | ||
| 1205947736 | MARTIN | ELIZABETH | ANNE | 1330 INTERSTATE PARKWAY | AUGUSTA | GA | 30909 | |
| 1003017468 | SMITH | RYAN | THOMAS | 1330 INTERSTATE PKWY | AUGUSTA | GA | 309095625 |