| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1588760201 | CASTLES | LISA | M | 325 MERCY ST | LAKE CITY | SC | 295602331 | |
| 1669578373 | DECAMPS | DANIEL | E | 276 N RON MCNAIR BLVD | LAKE CITY | SC | 295602462 | |
| 1417053133 | MOON | DAVID | W | 276 N RON MCNAIR BLVD | LAKE CITY | SC | 295602462 |