NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1053545723 |   |   |   | BAXLEY EYECARE CENTER | 206 MAPLE DR | VIDALIA | GA | 304748907 |
1174706642 |   |   |   | DAREL C. EDWARDS, P.C. | 206 MAPLE DR | VIDALIA | GA | 304748907 |
1447627815 | JOHNSON | JARVIS |   |   | 206 MAPLE DR | VIDALIA | GA | 304748907 |
1902155393 | KANG | DOO | YEON |   | 206 MAPLE DR | VIDALIA | GA | 304748907 |