NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1356390355 |   |   |   | WILLIAM JENNINGS BRYAN DORN VETERANS HOSPITAL | 59 LOGGERHEAD DR | COLUMBIA | SC | 292297911 |
1154432185 | SPARKS | WADE | DUNCAN |   | 59 LOGGERHEAD DR | COLUMBIA | SC | 292297911 |