NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1447290960 | APPLEWHITE | GARY | TILLERY |   | 3295 FORNEY ST | FORT JACKSON | SC | 292075604 |
1538509500 | BECKER | MITCHELL | ELI |   | 4323 HILL STREET | FORT JACKSON | SC | 292076022 |
1083266639 | BROADDUS | JORDAN | E |   | 4323 HILL ST | COLUMBIA | SC | 292076022 |
1699759852 | CAMPBELL | TIMOTHY | MERRILL |   | 3295 FORNEY ST | FORT JACKSON | SC | 292075604 |
1275517435 | CARTWRIGHT | JAMES | WILLIAM |   | 3295 FORNEY ST | FORT JACKSON | SC | 292075604 |
1619951407 | COOGLER | ARTHUR | CORNWELL |   | 3295 FORNEY ST | FORT JACKSON | SC | 292075604 |
1396729562 | DONAHOE | JOSEPH | WILLIAM |   | 3295 FORNEY ST | FORT JACKSON | SC | 292075604 |
1255690707 | EL SAMAD | MOHAMAD |   |   | 4323 HILL STREET | FORT JACKSON | SC | 292076022 |
1093152670 | FARMER | DREW | D |   | 4323 HILL STREET | FORT JACKSON | SC | 292076022 |
1497779870 | GAGE | BRANDON | M |   | 4323 HILL ST | COLUMBIA | SC | 292076022 |
1942258389 | GIBSON | GEORGE | MORRIS |   | 4323 HILL ST | COLUMBIA | SC | 292076022 |
1942284088 | GREENE | HENRY | ANTHONY |   | 3295 FORNEY ST | FORT JACKSON | SC | 292075604 |
1184735839 | HODD | JEFFREY | ALAN |   | 4323 HILL STREET | FT JACKSON | SC | 292076022 |
1548244197 | JOHNSON | WILLIAM | SAMUEL |   | 4323 HILL ST | COLUMBIA | SC | 292076022 |
1205814209 | JOYCE | ANTHONY | PETER |   | 4323 HILL ST | COLUMBIA | SC | 292076022 |
1285618322 | KELLY | PATRICK | THOMAS |   | 3295 FORNEY ST | FORT JACKSON | SC | 292075604 |
1700860855 | KIRSCHENFELD | HANNAH | MARIE |   | 4323 HILL ST | COLUMBIA | SC | 292076022 |
1821424185 | KOEHLER | JAMES | L |   | 4323 HILL STREET | FORT JACKSON | SC | 292076022 |
1932543121 | LUND | ERICK | JORDAN |   | 4323 HILL STREET | FORT JACKSON | SC | 292076022 |
1710917265 | MARSHALL | ANDREW | CHRISTIAN |   | 3295 FORNEY STREET | FORT JACKSON | SC | 292075780 |
1013991660 | MCKINNEY | HERBERT |   |   | 4323 HILL ST. | FORT JACKSON | SC | 292075604 |
1306803093 | RECIO | ASTRID | A |   | 4323 HILL ST | COLUMBIA | SC | 292076022 |
1578842480 | REZNICK | DAVID | ANDREW |   | 4323 HILL ST | COLUMBIA | SC | 292076022 |
1669110813 | ROBINSON | REGINA | RENA |   | US ARMY DENTAC-FT. JACKSON | COLUMBIA | SC | 292076022 |
1508429929 | SANTIAGO | MARILENA |   |   | 4323 HILL ST | COLUMBIA | SC | 292076022 |
1366426918 | SPITZER | JASON | CARLISLE |   | 4323 HILL ST | COLUMBIA | SC | 292076022 |
1508840661 | STAKIS | ANTHONY | DANIEL |   | 3295 FORNEY ST | FORT JACKSON | SC | 292075604 |
1770666232 | STANLEY | PHILIP | J. |   | 3295 FORNEY STREET | FORT JACKSON | SC | 292075780 |
1679682629 | STEPHENS | CHRYSTAL | REGINA |   | 3295 FORNEY ST. | FORT JACKSON | SC | 292075780 |
1407297484 | TICICH | MATTHEW | E |   | 4323 HILL STREET | FORT JACKSON | SC | 292076022 |
1154601599 | TINCHER | WILLIAM | J. |   | 1025 WESTHAVEN BLVD STE 150 | FRANKLIN | TN | 370644895 |
1275503773 | TUGGLE | STEVEN | TROY |   | 4323 HILL ST | COLUMBIA | SC | 292076022 |
1568872984 | VU | ANDY | TUAN-ANH |   | 4323 HILL ST | COLUMBIA | SC | 292076022 |
1831533348 | WALDRON | JOSHUA | RAND |   | 4323 HILL STREET | FORT JACKSON | SC | 292076022 |
1306079777 | WIGER | LEAH | MARIE |   | 4323 HILL ST | COLUMBIA | SC | 292076022 |