| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1336642719 | | | | SOUTHEAST REGIONAL PRIMARY CARE CORPORATION | PO BOX 407 | VIDALIA | GA | 304750407 |
| 1740503440 | | | | SOUTHEAST REGIONAL CARDIAC AND VASCULAR INSTITUTE, LLC | PO BOX 407 | VIDALIA | GA | 304750407 |
| 1629064365 | BURTON | ALBERT | A | | 101 HARRIS INDUSTRIAL BLVD STE A | VIDALIA | GA | 304748852 |
| 1164873121 | CHESTER | PATE | | | 1900 TEBEAU ST | WAYCROSS | GA | 315016357 |
| 1740678739 | CRAWFORD | RANDALL | TERRY | | PO BOX 407 | VIDALIA | GA | 304750407 |
| 1487161030 | GAY | CARLA | CLARK | | PO BOX 407 | VIDALIA | GA | 304750407 |
| 1942716642 | HARDEMAN | TERRA | | | 101 HARRIS INDUSTRIAL BLVD STE A | VIDALIA | GA | 304748852 |
| 1679531925 | HIGGINS | J. CHRIS | | | PO BOX 407 | VIDALIA | GA | 304750407 |
| 1912252792 | HOLTON | CYNTHIA | KAYE | | 291 WIGGINS RD | LYONS | GA | 304363434 |
| 1417035221 | MARVIN | KENNETH | S | | PO BOX 407 | VIDALIA | GA | 304750407 |
| 1194732719 | SMITH | MARTHA | | | PO BOX 407 | VIDALIA | GA | 304750407 |