NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1922596535 |   |   |   | PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP | PO BOX 743904 | ATLANTA | GA | 303743904 |
1366745416 | KRUSE | KIMBERLY |   |   | 11 RICHLAND MEDICAL PARK DR | COLUMBIA | SC | 292036863 |
1902866742 | PRIER | RONALD | E |   | PO BOX 402145 | ATLANTA | GA | 303842145 |
1033217716 | WIDENER | MICHELLE |   |   | PO BOX 743904 | ATLANTA | GA | 303743904 |