NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1922092345 | ELLENBERG | BRYAN | K |   | 1228 HWY 72 WEST | GREENWOOD | SC | 296491816 |
1538153861 | ERGLE | JOHN | M |   | 1228 HIGHWAY 72 W | GREENWOOD | SC | 296491816 |
1841284254 | FRIEZ | CARA | A |   | 1228 HIGHWAY 72 W | GREENWOOD | SC | 296491816 |
1609017193 | HAYNES | PAULA | B |   | 1228 HIGHWAY 72 W | GREENWOOD | SC | 296491816 |