| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1801391164 | BELLACK | YONGMEI | | | 2414 BULL ST | COLUMBIA | SC | 292011906 |
| 1386372779 | BROWN | TIFFANY | TRYNEAL | | 2414 BULL ST | COLUMBIA | SC | 292011906 |
| 1376029777 | DELA FUENTE | EDWARD | | | 2414 BULL ST | COLUMBIA | SC | 292011906 |
| 1528538865 | DIXON | ROOSEVELT | | | 2414 BULL ST | COLUMBIA | SC | 292011906 |
| 1821572009 | FOGLE | SHARON | | | 2414 BULL ST | COLUMBIA | SC | 292011906 |
| 1740754951 | HICKS | LEIGH | | | 2414 BULL ST | COLUMBIA | SC | 292011906 |
| 1962973768 | KEY | WILLIAM | R. | | 2414 BULL ST | COLUMBIA | SC | 292011906 |
| 1730660614 | MCPHERSON | AVA | | | 2414 BULL ST | COLUMBIA | SC | 292011906 |
| 1558845842 | SERAPHIN | WALTRUDE | | | 2414 BULL ST | COLUMBIA | SC | 292011906 |
| 1699235283 | SMITH-ROBINSON | SHAWN | | | 2414 BULL ST | COLUMBIA | SC | 292011906 |
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