| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1912522715 | BARTHOLOMEO | ADAM | MAYO | 169 ASHLEY AVENUE | CHARLESTON | SC | 29425 | |
| 1720518384 | CUNDIFF | NICHOLAS | MATTHEW | 169 ASHLEY AVE RM 202 | CHARLESTON | SC | 294258905 | |
| 1992298368 | LOOB | KATHARINE | 169 ASHLEY AVE | CHARLESTON | SC | 294258905 | ||
| 1043835531 | PHILLIPS | JOHNNY | DEAN | 169 ASHLEY AVE RM 202 | CHARLESTON | SC | 294258905 |