| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1861457129 | BENNETT | WARD | E | PO BOX 751274 | CHARLOTTE | NC | 282751274 | |
| 1083888739 | CACERES | CATHERINE | MARIEL | 722 BAY BOUQUET LN | APEX | NC | 275239311 | |
| 1023001484 | NORMAN | SOENDA | P | 5213 S ALSTON AVE | DURHAM | NC | 277134430 | |
| 1033441480 | TILLER | CHAD | ETHAN | PO BOX 751274 | CHARLOTTE | NC | 282751274 |