NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1609161991 | ADAMS | KIMBERLY | MICHELLE |   | 1002 STEEPLE RIDGE RD | IRMO | SC | 290638041 |
1013193820 | DESHIELDS BOYKIN | GENEA | DESHIELDS |   | 355 RIDGE RUN TRAIL | IRMO | SC | 29063 |
1467706051 | DONALD | KIMBERLY |   |   | 416 SOUTHAMPTON DR | IRMO | SC | 290639766 |
1396030581 | SHELTON | MEGAN |   |   | 355 RIDGE RUN TRL | IRMO | SC | 290638667 |