| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1073015095 | SOUTHEAST REGIONAL PRIMARY CARE CORPORATION | PO BOX 407 | VIDALIA | GA | 304750407 | |||
| 1124216312 | VIDALIA SURGICAL ASSOCIATES, LLC | PO BOX 407 | VIDALIA | GA | 304750407 | |||
| 1760702328 | DUNN | JOY | M | 2601 HOLME AVE | PHILADELPHIA | PA | 191522007 | |
| 1831325356 | EVANS | KENDRIX | JERMAINE | 919 HIDDEN RDG | IRVING | TX | 750383813 | |
| 1891109880 | FERLAND | HENRY | LEON | 736 CAMBRIDGE ST | BRIGHTON | MA | 021352907 | |
| 1437145208 | HOFMANN | KURT | PATRICK | PO BOX 407 | VIDALIA | GA | 304750407 | |
| 1780672287 | NORKUS | GREGORY | PO BOX 407 | VIDALIA | GA | 304750407 |