NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1245575109 | BARNETT | GARY | LEE |   | 100 OLD CHEROKEE RD | LEXINGTON | SC | 290729316 |
1992040687 | MIMS | CHARLES | EDWARD |   | 100 OLD CHEROKEE RD | LEXINGTON | SC | 290729316 |
1003151812 | YOUNG | SHEILA | ALLEN |   | 100 OLD CHEROKEE RD | LEXINGTON | SC | 290729316 |