| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1467455527 | BOLEMAN | ROBERT | CHARLES | PO BOX 11807 | COLUMBIA | SC | 292111807 | |
| 1699778670 | FARMER | LARRY | G | PO BOX 11807 | COLUMBIA | SC | 292111807 | |
| 1841293255 | HENRICHS | CHARLES | W | PO BOX 11807 | COLUMBIA | SC | 292111807 | |
| 1639172042 | LACY | THOMAS | H | PO BOX 11807 | COLUMBIA | SC | 292111807 | |
| 1467403832 | NOVAK | TIMOTHY | PO BOX 11807 | COLUMBIA | SC | 292111807 | ||
| 1275515785 | PRATT | EUGENE | PO BOX 11807 | COLUMBIA | SC | 292111807 |