| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1568641165 | CAROMONT MEDICAL GROUP INC | PO BOX 744786 | ATLANTA | GA | 303744786 | |||
| 1164504429 | BURNS | KRISTEN | JEAN | 1200 VILLAGE HARBOR DR | LAKE WYLIE | SC | 297109092 | |
| 1770970873 | IVEY | AMANDA | C | 1200 VILLAGE HARBOR DR | LAKE WYLIE | SC | 297109092 | |
| 1639103039 | LIU | JONATHAN | JAY | PO BOX 744786 | ATLANTA | GA | 303744786 |