| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1740424076 | MCCONNELL MACK | AMANDA | NICHOLE | 90 JACKSON PIKE | GALLIPOLIS | OH | 456311560 | |
| 1295768174 | OHARRIZ | JUAN | JOSE | 90 JACKSON PIKE | GALLIPOLIS | OH | 456311560 | |
| 1184668253 | STOUT | RODNEY | B. | 90 JACKSON PIKE | GALLIPOLIS | OH | 456311560 |