NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1487291506 |   |   |   | DEPARTMENT OF MENTAL HEALTH | 436 CORAL ROSE DR | IRMO | SC | 290637503 |
1104266741 | BURGUIERES | ELIZABETH | A |   | SCDMH- CHARLESTON TELEPSYCHIATRY OFFICE | CHARLESTON | SC | 29414 |
1487232690 | COOPER | SHANEIKA |   |   | 2414 BULL ST | COLUMBIA | SC | 292011906 |
1699265611 | FULTON | TESHAWN | MICHELLE |   | 2414 BULL ST | COLUMBIA | SC | 292011906 |
1073256335 | GAMBRELL | ROBIN | SNYDER |   | 364 SADDLEBROOKE CIR | LEXINGTON | SC | 290727531 |
1174904346 | GURAM | SHALIKA | WHIG |   | 2414 BULL ST | COLUMBIA | SC | 292011906 |
1538792445 | HAMMACK | HEIDI |   |   | 2414 BULL ST | COLUMBIA | SC | 292011924 |
1427689785 | HERRING | TAHIRA |   |   | 2414 BULL ST | COLUMBIA | SC | 292011906 |
1598353872 | KEENAN | KATHY | LYNN |   | 2414 BULL ST | COLUMBIA | SC | 292011906 |
1669751533 | MILLER | AMY | RUSHTON |   | 2728 FAIRVIEW RD | LEESVILLE | SC | 290709744 |
1841924107 | PERRIN | LEEANZA | SIARA |   | 2414 BULL ST | COLUMBIA | SC | 292011906 |
1619518016 | REYNOLDS | JUSTICE |   |   | 2414 BULL ST | COLUMBIA | SC | 292011906 |
1922750611 | SANDERS | TANESHA | LEE |   | 2414 BULL ST | COLUMBIA | SC | 292011906 |
1831827559 | SWINTON | ALANDA | S |   | 2414 BULL ST | COLUMBIA | SC | 292011906 |
1114538931 | WARE | TOMECA |   |   | 700 SIMPSON RD APT 10E | ANDERSON | SC | 296213073 |
1609320472 | WASHINGTON | LAQUANDA |   |   | 2414 BULL ST | COLUMBIA | SC | 292011906 |