| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1780908228 | MIRACLE HEALTHCARE LLC | 649B W MCNEAL ST | BOLIVAR | TN | 380082519 | |||
| 1346565629 | LAX | KASEY | PO BOX 400 | JACKSON | TN | 383020400 | ||
| 1194118588 | MCINTYRE | ANNA | 622 W MARKET STREET | BOLIVAR | TN | 380080846 | ||
| 1700447521 | RODRIGUEZ | ELIZABETH | M | 828 N PARKWAY | JACKSON | TN | 383053185 |