NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1346216546 | PAXSON | CLINT | D |   | 1014 NORTHSIDE DR E | STATESBORO | GA | 304581002 |
1740229897 | PORTER | EDWIN | KENT DAVIS |   | PO BOX 1009 | STATESBORO | GA | 304591009 |
1386606374 | PORTER | JOHN | MICHAEL |   | PO BOX 1009 | STATESBORO | GA | 304591009 |
1760566319 | RITTENHOUSE | LANCE | L |   | PO BOX 1009 | STATESBORO | GA | 304591009 |
1477607596 | ROY | CHRIS | JAY |   | PO BOX 1009 | STATESBORO | GA | 304591009 |