NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1104130376 |   |   |   | BLUE RIDGE PEDIATRICS LLC | 457B HIGHWAY 123 | SENECA | SC | 296780842 |
1154450757 |   |   |   | BLUE RIDGE PEDIATRICS LLC | 457-B HWY 123 BYPASS | SENECA | SC | 296780947 |
1457324907 |   |   |   | BLUE RIDGE PEDIATRICS LLC | 457B HIGHWAY 123 | SENECA | SC | 296780842 |
1881174613 | DORSEY | RACHAEL |   |   | 457B HIGHWAY 123 | SENECA | SC | 296780842 |
1326066564 | GULLY | CAREY | MOLIN |   | 457- B HWY 123 BYPASS | SENECA | SC | 29678 |
1831259886 | JOHNSON | ARLENE | ELIZABETH |   | 457- B HWY 123 BYPASS | SENECA | SC | 29678 |
1134505522 | NASO | STACI |   |   | 457 BY PASS 123 | SENECA | SC | 296780842 |
1215900766 | PARRINO | MICHAEL |   |   | PO BOX 947 | SENECA | SC | 296790947 |
1124091657 | VISSAGE | JOYCE |   |   | 457-B HWY 123 BYPASS | SENECA | SC | 29678 |
1063491223 | WILSON | PAMELA | S |   | 457-B HWY 123 BYPASS | SENECA | SC | 296780842 |