| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1285650515 | GLENN | LYNN | E | PO BOX 1245 | ORANGEBURG | SC | 291161245 | |
| 1477131290 | MARES | MARY | GRACE | 3059 ANDERSON PL | DECATUR | GA | 300331601 | |
| 1386814648 | WILLIAMS-BOWENS | JEAN | 7901 FARROW RD | COLUMBIA | SC | 29203 |