NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1396977955 |   |   |   | CLEMSON SPORTS MEDICINE AND REHABILITATION | PO BOX 1844 | CLEMSON | SC | 296331844 |
1568544286 |   |   |   | CLEMSON SPORTS MEDICINE AND REHABILITATION | PO BOX 1844 | CLEMSON | SC | 296331844 |
1891041018 | CLARK | CLINTON | JEFF |   | PO BOX 1844 | CLEMSON | SC | 296331844 |
1285742015 | CUMBIE | HEATHER |   |   | 400 GASSAWAY ST | CENTRAL | SC | 296308817 |
1518565373 | FLEENOR | GLENN |   |   | 790 REMINGTON BLVD | BOLINGBROOK | IL | 604404909 |
1134290331 | FULLER | JASON |   |   | 101 CROSS CREEK CT | CENTRAL | SC | 296304108 |
1518610500 | GANT | HUNTER | L |   | 790 REMINGTON BLVD | BOLINGBROOK | IL | 604404909 |
1811467251 | HAUBERG | JULIE | LYNN |   | 790 REMINGTON BLVD | BOLINGBROOK | IL | 604404909 |
1053068577 | HAYES | CHRISTAN | LEE |   | 790 REMINGTON BLVD | BOLINGBROOK | IL | 604404909 |
1851628051 | LONG | KIMBERLY | LYNN |   | PO BOX 1844 | CLEMSON | SC | 296331844 |
1255415543 | MEYERS | SVEN | DAVID |   | 216 VALLEY CREEK DR | WESTMINSTER | SC | 296933150 |
1306330352 | PURVIS | LEANNA | ELIZABETH |   | 790 REMINGTON BLVD | BOLINGBROOK | IL | 604404909 |
1790388981 | SULLIVAN | JACK |   |   | 790 REMINGTON BLVD | BOLINGBROOK | IL | 604404909 |
1417039793 | WHITE | AMIE KAYE | DERRICK |   | 5 IVY CT | SENECA | SC | 296783023 |