ProviderBusinessMailingAddressFaxNumber = '8339961161'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1225228240
HENRICHSEN
KAREN
M
 
108 HIGHWAY 28 BYP
ANDERSON
SC
296243742
1124532528
LACK
AMANDA
MAYS
 
108 HIGHWAY 28 BYP
ANDERSON
SC
296243742
Home