NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1164783643 |   |   |   | COASTAL CAROLINA PRIMARY CARE, LLC | 106 W MAIN ST | MONCKS CORNER | SC | 294612601 |
1417137803 |   |   |   | BERKELEY MEDICAL CENTER, LLC | 106 W MAIN ST | MONCKS CORNER | SC | 294612601 |
1659872059 |   |   |   | FETTER HEALTH CARE NETWORK, INC. | 51 NASSAU ST | CHARLESTON | SC | 294035513 |
1548299159 | GIBBS | ROSE | DELORES |   | 106 W MAIN ST | MONCKS CORNER | SC | 29461 |
1942474770 | SMITH | MICHELLE | DAVIS |   | 106 W MAIN ST | MONCKS CORNER | SC | 294612601 |