NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1457344418 | ACOSTA | MARIA | F |   | 110 RT STANLEY SR PL | LYONS | GA | 304365623 |
1073199204 | BRANTLEY | KRISTIN |   |   | 110 RT STANLEY SENIOR PL | LYONS | GA | 304360407 |
1548250830 | CORNWELL | JAMES | ROY |   | PO BOX 407 | VIDALIA | GA | 304750407 |
1750374336 | REAVIS | CATHERINE | W |   | 110 R T STANLEY SR PL | LYONS | GA | 30436 |
1912238460 | YOUNG | BRADLEY | HARPER |   | 110 RT STANLEY SR PL | LYONS | GA | 304365623 |