NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1184730749 |   |   |   | COASTAL CAROLINA MULTISPECIALTY ASSOCS, LLC | 9221 UNIVERSITY BLVD | NORTH CHARLESTON | SC | 294069148 |
1447249461 | MOSCATELLO | SALVATORE | ANTHONY |   | 9221 UNIVERSITY BLVD | NORTH CHARLESTON | SC | 294069148 |
1649746025 | RUSSELL | KIMBERLY | LYNN |   | 300 SEAPORT LN UNIT 1325 | MT PLEASANT | SC | 294642731 |
1073600540 | SIDNEY | DARREN | S |   | 9221 UNIVERSITY BLVD | NORTH CHARLESTON | SC | 294069148 |
1114402153 | WATSON | BROOKE | ELIZABETH |   | PO BOX 530062 | ATLANTA | GA | 303530062 |