| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1730572850 | HARRIS | DANIEL | TYLER | PO BOX 1303 | VIDALIA | GA | 304751303 | |
| 1851578637 | JESSUP | DAMON | KEITH | PO BOX 1303 | VIDALIA | GA | 304751303 | |
| 1437421773 | STATEN | SHANNON | LACEY | PO BOX 1303 | VIDALIA | GA | 304751303 |