| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1598876633 | CALDWELL | CAROLINE | D | 124 MALLARD ST | GREENVILLE | SC | 296014046 | |
| 1700925286 | KERR | ALAN | D | 124 MALLARD ST | GREENVILLE | SC | 296014046 | |
| 1154476661 | WROBEL | MIMI | 124 MALLARD ST | GREENVILLE | SC | 296014046 |