| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1710941133 | BETZ | WILLIAM | R | PO BOX 3439 | NORTH MYRTLE BEACH | SC | 295820439 | |
| 1619380623 | HEICHEL | REBECCA | JANE | PO BOX 3439 | NORTH MYRTLE BEACH | SC | 295820439 | |
| 1144281148 | ISERNIA | JAMES | MICHAEL | PO BOX 3439 | NORTH MYRTLE BEACH | SC | 295820439 | |
| 1477111615 | WEAVER | PAIGE | ALYSE | PO BOX 3439 | NORTH MYRTLE BEACH | SC | 295820439 | |
| 1487655106 | WILSON | ASHLEY | SMITH | PO BOX 3439 | NORTH MYRTLE BEACH | SC | 295820439 |