| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1609262807 | SELF MEDICAL GROUP | 103 LITTLE MOUNTAIN RD | NINETY SIX | SC | 296669252 | |||
| 1629062955 | BRYANT | ROBERT | MICHAEL | 103 LITTLE MOUNTAIN RD | NINETY SIX | SC | 296669252 | |
| 1043205396 | GOOGE | MELANIE | DAWN | 103 LITTLE MOUNTAIN RD | NINETY SIX | SC | 296669252 | |
| 1669466074 | VAUGHN-GOODMAN | PATRICIA | M | 103 LITTLE MOUNTAIN RD | NINETY SIX | SC | 296669252 |