| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1174706642 | DAREL C. EDWARDS, P.C. | 206 MAPLE DR | VIDALIA | GA | 304748907 | |||
| 1639162175 | EDWARDS | DAREL | C | 206 MAPLE DR | VIDALIA | GA | 304748907 | |
| 1902155393 | KANG | DOO | YEON | 206 MAPLE DR | VIDALIA | GA | 304748907 |