| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1851704472 | ASHLEY | BRYAN | ELLIS | 169 ASHLEY AVE | CHARLESTON | SC | 294258905 | |
| 1871906628 | BAKER | KEVIN | JOHN | PO BOX 751461 | CHARLOTTE | NC | 282751461 | |
| 1487003943 | DOUGLASS | KEVIN | 169 ASHLEY AVE | CHARLESTON | SC | 294258905 | ||
| 1407237688 | MANANDHAR | NILA | PO BOX 751461 | CHARLOTTE | NC | 282751461 | ||
| 1417210147 | REAMS | EMILY | HELEN | PO BOX 751461 | CHARLOTTE | NC | 282751461 |