| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1649290362 | JUSTICE | DAVID | A | 1278 N LAFAYETTE DR | SUMTER | SC | 291502964 | |
| 1033211321 | JUSTICE | LESLIE | R | 1278 NORTH LAFAYETTE DRIVE | SUMTER | SC | 291502964 | |
| 1790370047 | MACK | SHINEKA | LATOYA | 1278 N LAFAYETTE DR | SUMTER | SC | 291502964 | |
| 1689299091 | SMITH | LOGAN | C | 1278 N LAFAYETTE DR | SUMTER | SC | 291502964 |