2011 Provider/Pharmacy Directory - Blue Cross and Blue Shield of ...

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Primary Care Physicians SPARTANBURG SPARTANBURG SPARTANBURG SPARTANBURG Garrell Robin F MD* Internal Medicine Hospital Identifier(S): 56, 55 Spartanburg Regional Medical Center 101 E Wood St Spartanburg, SC, 29303 (864) 5606000 Scdr Lang: ENGLISH Garrell Robin F MD* Internal Medicine Hospital Identifier(S): 56, 55 Spartanburg Inpatient Specialists 101 E Wood St Ste 401 Spartanburg, SC, 29303 (864) 5606654 Scdr Lang: ENGLISH Garris Jeffrey B MD* Obstetrics & Gynecology Hospital Identifier(S): 25 University Medical Group 1 Doctors Park Dr Spartanburg, SC, 29307 (864) 4551600 Ghetie Cristian N MD Internal Medicine Hospital Identifier(S): 56, 72 Spartanburg Inpatient Specialists 101 E Wood St Ste 401 Spartanburg, SC, 29303 (864) 5606654 Gibbons Joseph G DO* Internal Medicine Hospital Identifier(S): 37 Mary Black Physicians Group LLC 1690 Skylyn Dr Ste 300 Spartanburg, SC, 29307 (564) 5821201 Gibbons Joseph G DO* Internal Medicine Hospital Identifier(S): 37 Spartanburg Regional Medical Center 101 E Wood St Spartanburg, SC, 29303 (864) 5606000 Gibbons Joseph G DO* Internal Medicine Hospital Identifier(S): 37 Mary Black Physicians Group LLC 2995 Reidville Rd Ste 210 Spartanburg, SC, 29301 (864) 5827892 Giep Bang N MD* Obstetrics & Gynecology Hospital Identifier(S): 56 Spartanburg OB/GYN PA 250 N Grove Medical Park Dr Spartanburg, SC, 29303 (864) 5607002 Giep Hoang N MD* Obstetrics & Gynecology Hospital Identifier(S): 56 Spartanburg OB/GYN PA 250 N Grove Medical Park Dr Spartanburg, SC, 29303 (864) 5607002 Giep Nguyen N MD* Obstetrics & Gynecology Hospital Identifier(S): 56 Spartanburg OB/GYN PA 250 N Grove Medical Park Dr Spartanburg, SC, 29303 (864) 5607002 Glace Charles L MD* Family Medicine Hospital Identifier(S): 37 Mary Black Physicians Group LLC 2995 Reidville Rd Ste 210 Spartanburg, SC, 29301 (864) 5827892 Glace Charles L MD* Family Medicine Hospital Identifier(S): 37 Mary Black Physicians Group LLC 2995 Reidville Rd Ste 260 Spartanburg, SC, 29301 (864) 5742866 Glenn George C III MD* Pediatrics Hospital Identifier(S): 37 University Medical Group 1686 Skylyn Dr Ste 201 Spartanburg, SC, 29307 (864) 5828135 Godejohn Angela L MD* Family Medicine Regional OB/GYN Services 853 N Church St Ste 700 Spartanburg, SC, 29303 (864) 5606164 Godejohn Angela L MD* Family Medicine Spartanburg Regional Medical Center 101 E Wood St Spartanburg, SC, 29303 (864) 5606000 Godenick Mark T MD* Family Medicine Hospital Identifier(S): 56 Family Medicine Faculty Associates 853 N Church St Ste 510 Spartanburg, SC, 29303 (864) 5607001 * <strong>Provider</strong>s identified with an asterisk also accept Medicaid 109
Primary Care Physicians SPARTANBURG SPARTANBURG SPARTANBURG SPARTANBURG Godenick Mark T MD* Family Medicine Hospital Identifier(S): 56 Regional Physician Medical Services 101 E Wood St Spartanburg, SC, 29303 (864) 5604070 Godenick Mark T MD* Family Medicine Hospital Identifier(S): 56 Spartanburg Regional Medical Center 101 E Wood St Spartanburg, SC, 29303 (864) 5606000 Gold Steven MD* Internal Medicine Network Geriatric Services PA 103 S Pine St Spartanburg, SC, 29302 (864) 3271510 Scdr Speciality: Geriatrics Gollapalli Sunil K MD Internal Medicine Hospital Identifier(S): 56, 55 Spartanburg Inpatient Specialists 101 E Wood St Ste 401 Spartanburg, SC, 29303 (864) 5606654 Scdr Lang: TELUGU Gonda Francisco E MD* Family Medicine Hospital Identifier(S): 37 Mary Black Physicians Group LLC 2995 Reidville Rd Ste 210 Spartanburg, SC, 29301 (864) 5827892 Goodlett Robert F MD* Obstetrics & Gynecology Hospital Identifier(S): 56 Woman's Clinic 475 Heywood Ave Spartanburg, SC, 29307 (864) 6995020 Grieshop Theodore J MD* Internal Medicine Hospital Identifier(S): 56, 55 Regional Infectious Disease 853 N Church St Ste 410A Spartanburg, SC, 29303 (864) 5606928 Scdr Speciality: Infectious Disease Griffin Laurie L DO* Internal Medicine Hospital Identifier(S): 37 Mary Black Physicians Group LLC 2995 Reidville Rd Ste 210 Spartanburg, SC, 29301 (864) 5827892 Griffin Laurie L DO* Internal Medicine Hospital Identifier(S): 37 Mary Black Physicians Group LLC 1690 Skylyn Dr Ste 300 Spartanburg, SC, 29307 (564) 5821201 Gudger Jeffrey N MD* Internal Medicine Mary Black Physicians Group LLC 1690 Skylyn Dr Ste 210 Spartanburg, SC, 29307 (864) 5857887 Haddad George C Jr MD* Pediatrics Hospital Identifier(S): 37 University Medical Group 1686 Skylyn Dr Ste 201 Spartanburg, SC, 29307 (864) 5828135 Haddad Mary E MD Obstetrics & Gynecology Hospital Identifier(S): 56 Spartanburg Regional Medical Center 101 E Wood St Spartanburg, SC, 29303 (864) 5606000 Haddad Mary E MD Obstetrics & Gynecology Hospital Identifier(S): 56 Spartanburg OB/GYN PA 250 N Grove Medical Park Dr Spartanburg, SC, 29303 (864) 5607002 Haddad Robert G MD* Internal Medicine Hospital Identifier(S): 56 Spartanburg Inpatient Specialists 101 E Wood St Ste 401 Spartanburg, SC, 29303 (864) 5606654 Scdr Lang: ENGLISH Hanspard Kenya MD* Internal Medicine Hospital Identifier(S): 56 Spartanburg Emergency Center Physicians 101 E Wood St Spartanburg, SC, 29303 (864) 5606000 * <strong>Provider</strong>s identified with an asterisk also accept Medicaid 110
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2011 Provider/Pharmacy Directory an
Page 3 and 4:
TABLE OF CONTENTS PROVIDER DIRECTOR
Page 5 and 6:
Total Network Providers Available P
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How do you find Medicare Blue and M
Page 9 and 10:
AIKEN AIKEN Skinner Raymond R MD
Page 11 and 12:
ANDERSON ANDERSON Donaldson Will
Page 13 and 14:
ANDERSON ANDERSON Lazariashvili
Page 15 and 16:
ANDERSON ANDERSON Wheeler Thomas
Page 17 and 18:
BAMBERG BAMBERG Hayden John H Jr
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BEAUFORT PORT ROYAL PORT ROYAL A
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CALHOUN SAINT MATTHEWS Primary C
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CHARLESTON CHARLESTON Primary Ca
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CHARLESTON CHARLESTON Primary Ca
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Primary Care Physicians CHARLESTON
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CHEROKEE GAFFNEY Nazareno Marilu
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CLARENDON MANNING McNair Rebecca
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DARLINGTON HARTSVILLE Harless Mi
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Primary Care Physicians DORCHESTER
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FLORENCE FLORENCE Primary Care P
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GREENVILLE GREENVILLE Arashinagu
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GREENVILLE GREENVILLE Broderick
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GREENVILLE GREENVILLE Davis Lucy
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GREENVILLE GREENVILLE Garris Jef
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GREENVILLE GREENVILLE Holtzer Ka
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GREENVILLE GREENVILLE Kofoed Sha
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GREENVILLE GREENVILLE May Harry
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GREENVILLE GREENVILLE Nithya Ram
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GREENVILLE GREENVILLE Ray Dana R
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GREENVILLE GREENVILLE Stanbro Ma
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GREENVILLE GREENVILLE Williams J
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GREENVILLE GREER Khalid Humaira
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GREENVILLE SIMPSONVILLE Primary
Page 65 and 66: GREENVILLE TAYLORS Primary Care
Page 67 and 68: GREENWOOD GREENWOOD Primary Care
Page 69 and 70: HORRY LITTLE RIVER LITTLE RIVER
Page 71 and 72: HORRY MYRTLE BEACH Haq Ahmad T M
Page 73 and 74: HORRY MYRTLE BEACH Tangeman Lind
Page 75 and 76: LANCASTER FORT MILL Shah Amit G
Page 77 and 78: LANCASTER LANCASTER Primary Care
Page 79 and 80: LEXINGTON CHAPIN Venegas J M MD*
Page 81 and 82: LEXINGTON IRMO Guram Surbjinder
Page 83 and 84: LEXINGTON LEXINGTON PriceBost
Page 85 and 86: LEXINGTON WEST COLUMBIA Primary
Page 87 and 88: LEXINGTON WEST COLUMBIA Primary
Page 89 and 90: NEWBERRY NEWBERRY Godoy Franco B
Page 91 and 92: Primary Care Physicians ORANGEBURG
Page 93 and 94: PICKENS CLEMSON Rhodes Tiffany L
Page 95 and 96: PICKENS EASLEY Swiger Barry R MD
Page 97 and 98: RICHLAND COLUMBIA Burnham Willia
Page 99 and 100: RICHLAND COLUMBIA Harper Greta S
Page 101 and 102: RICHLAND COLUMBIA Joy Annarosan
Page 103 and 104: RICHLAND COLUMBIA Nwanagu Jonath
Page 105 and 106: RICHLAND COLUMBIA Schumacher Sar
Page 107 and 108: RICHLAND IRMO IRMO CallisWolfe
Page 109 and 110: SPARTANBURG GREER OtubuScipio
Page 111 and 112: Primary Care Physicians SPARTANBURG
Page 115: Primary Care Physicians SPARTANBURG
Page 131 and 132: SUMTER SUMTER Riddle Samuel M II
Page 133 and 134: YORK YORK Thomas Aydrian L MD* F
Page 135 and 136: AIKEN AIKEN Maniam Prakash N MD
Page 137 and 138: ANDERSON ANDERSON ANDERSON ANDER
Page 139 and 140: ANDERSON ANDERSON George Matthew
Page 141 and 142: ANDERSON ANDERSON Malpass David
Page 143 and 144: ANDERSON ANDERSON Rekito Anthony
Page 145 and 146: ANDERSON ANDERSON Wilson Freddie
Page 147 and 148: BARNWELL BARNWELL Patel Devesh R
Page 149 and 150: BEAUFORT BLUFFTON Warner George
Page 151 and 152: BEAUFORT HILTON HEAD Kalan Jay M
Page 153 and 154: BEAUFORT HILTON HEAD Young Charl
Page 155 and 156: BERKELEY DANIEL ISLAND O'Neill P
Page 157 and 158: BERKELEY MONCKS CORNER Specialis
Page 159 and 160: CHARLESTON CHARLESTON Specialist
Page 167 and 168:
CHARLESTON CHARLESTON Specialist
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CHARLESTON CHARLESTON Specialist
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CHARLESTON MOUNT PLEASANT Specia
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Page 175 and 176:
Page 177 and 178:
Page 179 and 180:
Specialists CHARLESTON NORTH CHA
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Page 183 and 184:
Page 185 and 186:
CHARLESTON SUMMERVILLE Specialis
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CHESTER CHESTER Percival Julie A
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COLLETON WALTERBORO COLLETON WAL
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DARLINGTON HARTSVILLE Nwankudu N
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DORCHESTER SUMMERVILLE Specialis
Page 195 and 196:
FLORENCE FLORENCE Bishara Lisa A
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FLORENCE FLORENCE Jobe John S MD
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FLORENCE FLORENCE Pande Meenaksh
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FLORENCE LAKE CITY Palmer Susan
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GEORGETOWN PAWLEYS ISLAND Specia
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GREENVILLE GREENVILLE Ansari Moh
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GREENVILLE GREENVILLE Blouin Gay
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GREENVILLE GREENVILLE Brown Eric
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GREENVILLE GREENVILLE Specialist
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GREENVILLE GREENVILLE Cobb Willi
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GREENVILLE GREENVILLE Curran Wil
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GREENVILLE GREENVILLE Dodge Rhet
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GREENVILLE GREENVILLE Ferlauto G
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GREENVILLE GREENVILLE Galbraith
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GREENVILLE GREENVILLE Gray Linda
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GREENVILLE GREENVILLE Hayes Lloy
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GREENVILLE GREENVILLE Horton Sam
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GREENVILLE GREENVILLE Jervey E D
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GREENVILLE GREENVILLE Kelly Mich
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GREENVILLE GREENVILLE Lashley Je
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GREENVILLE GREENVILLE Mabie Bill
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GREENVILLE GREENVILLE McCarter J
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GREENVILLE GREENVILLE Merchant V
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GREENVILLE GREENVILLE Murphy R R
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GREENVILLE GREENVILLE Pace Thoma
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GREENVILLE GREENVILLE Phillips M
Page 247 and 248:
GREENVILLE GREENVILLE Riddle Cha
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GREENVILLE GREENVILLE Sarmiento
Page 251 and 252:
GREENVILLE GREENVILLE Shusterman
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GREENVILLE GREENVILLE Spivey Jud
Page 255 and 256:
GREENVILLE GREENVILLE Terry Lewi
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GREENVILLE GREENVILLE Van Hale H
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GREENVILLE GREENVILLE Welborn Ju
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GREENVILLE GREENVILLE Wiper Dona
Page 263 and 264:
GREENVILLE GREENVILLE Young Thom
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GREENVILLE GREER Johnson Gordon
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GREENVILLE GREER Thompson Mauree
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GREENVILLE SIMPSONVILLE Speciali
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Page 273 and 274:
Page 275 and 276:
GREENWOOD GREENWOOD Specialists
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HAMPTON VARNVILLE Lewin Albert R
Page 279 and 280:
HORRY LORIS Pande Amit V MD* Car
Page 281 and 282:
HORRY MYRTLE BEACH Dean Mark T O
Page 283 and 284:
HORRY MYRTLE BEACH Lee David B P
Page 285 and 286:
HORRY MYRTLE BEACH Sloan Frank K
Page 287 and 288:
JASPER HARDEEVILLE Coolidge Caro
Page 289 and 290:
KERSHAW CAMDEN Olatosi Akinwale
Page 291 and 292:
LANCASTER LANCASTER Makhuli Mark
Page 293 and 294:
LAURENS CLINTON Yu Henry MD* Nep
Page 295 and 296:
LEXINGTON COLUMBIA Miller Stewar
Page 297 and 298:
LEXINGTON IRMO O'Leary James A M
Page 299 and 300:
LEXINGTON LEXINGTON Hydorn Chris
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LEXINGTON WEST COLUMBIA Speciali
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Page 305 and 306:
Page 307 and 308:
Page 309 and 310:
MARLBORO BENNETTSVILLE Specialis
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OCONEE SENECA Carter George E II
Page 313 and 314:
ORANGEBURG NORTH NORTH Tharp Sho
Page 315 and 316:
ORANGEBURG ORANGEBURG Specialist
Page 317 and 318:
ORANGEBURG ORANGEBURG Specialist
Page 319 and 320:
PICKENS EASLEY Edenfield William
Page 321 and 322:
PICKENS PICKENS PICKENS Spearman
Page 323 and 324:
RICHLAND COLUMBIA Boyd Robert E
Page 325 and 326:
RICHLAND COLUMBIA Carroll Vernon
Page 327 and 328:
RICHLAND COLUMBIA Deemer Jessamy
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RICHLAND COLUMBIA Gabr Usama A M
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RICHLAND COLUMBIA Hawsey Laura A
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RICHLAND COLUMBIA Jones Benjamin
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RICHLAND COLUMBIA Lovern Mark A
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RICHLAND COLUMBIA McLaughlin Nia
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RICHLAND COLUMBIA Norman Jennife
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RICHLAND COLUMBIA Rafiq Muhammad
Page 343 and 344:
RICHLAND COLUMBIA Shenoy Rajeev
Page 345 and 346:
RICHLAND COLUMBIA Thompson Steph
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RICHLAND COLUMBIA Wells John A J
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SPARTANBURG BOILING SPRINGS Spec
Page 351 and 352:
SPARTANBURG GREER Kallman David
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SPARTANBURG INMAN Penka Rachelle
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SPARTANBURG SPARTANBURG Speciali
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Page 385 and 386:
Page 387 and 388:
Page 389 and 390:
SUMTER SUMTER Moses Henry P MD*
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UNION UNION Wren John D MD* Path
Page 393 and 394:
YORK ROCK HILL Blackwell James B
Page 395 and 396:
YORK ROCK HILL Khandekar Suresh
Page 397 and 398:
YORK ROCK HILL Reuter Robert MD
Page 399 and 400:
ABBEVILLE ABBEVILLE ABBEVILLE AB
Page 401 and 402:
HORRY LORIS HORRY LORIS Loris Co
Page 403 and 404:
AIKEN AIKEN AIKEN AIKEN Carriage
Page 405 and 406:
FAIRFIELD RIDGEWAY FAIRFIELD RID
Page 407 and 408:
LEXINGTON WEST COLUMBIA Skilled
Page 409 and 410:
AIKEN AIKEN Outpatient Mental He
Page 411 and 412:
BEAUFORT BEAUFORT Outpatient Men
Page 413 and 414:
Outpatient Mental Health Providers
Page 415 and 416:
Page 417 and 418:
Page 419 and 420:
Page 421 and 422:
Page 423 and 424:
Page 425 and 426:
Page 427 and 428:
HORRY MYRTLE BEACH Outpatient Me
Page 429 and 430:
LEXINGTON COLUMBIA Outpatient Me
Page 431 and 432:
NEWBERRY NEWBERRY Outpatient Men
Page 433 and 434:
RICHLAND COLUMBIA Outpatient Men
Page 435 and 436:
Page 437 and 438:
Page 439 and 440:
Page 441 and 442:
YORK ROCK HILL Munson Catherine
Page 443 and 444:
ANDERSON BELTON Chiropractors BE
Page 445 and 446:
CHARLESTON CHARLESTON Chiropract
Page 447 and 448:
CHESTER CHESTER Hardin Lyles G D
Page 449 and 450:
GEORGETOWN ANDREWS GEORGETOWN AN
Page 451 and 452:
GREENVILLE GREER GREER Kemp Moni
Page 453 and 454:
LEXINGTON CHAPIN Nelson Matthew
Page 455 and 456:
PICKENS EASLEY Naumann Victoria
Page 457 and 458:
SPARTANBURG SPARTANBURG Chiropra
Page 459 and 460:
YORK ROCK HILL Muschik Jeffery M
Page 461 and 462:
LEXINGTON WEST COLUMBIA Ancillar
Page 463 and 464:
GREENVILLE GREENVILLE Greenville
Page 465 and 466:
CHESTER CHESTER BMA Of Chester 5
Page 467 and 468:
FAIRFIELD WINNSBORO Fresenius Me
Page 469 and 470:
GREENVILLE GREENVILLE Adam Medic
Page 471 and 472:
Ancillary Providers GEORGETOWN P
Page 473 and 474:
GEORGETOWN GEORGETOWN Ancillary
Page 475 and 476:
Page 477 and 478:
RICHLAND COLUMBIA University Med
Page 479 and 480:
DORCHESTER SUMMERVILLE Ancillary
Page 481 and 482:
CHARLESTON CHARLESTON Ancillary
Page 483 and 484:
LANCASTER LANCASTER Hanger Prost
Page 485 and 486:
ANDERSON PIEDMONT Carolina Oxyge
Page 487 and 488:
Page 489 and 490:
HORRY MYRTLE BEACH Ancillary Pro
Page 491 and 492:
RICHLAND COLUMBIA Ancillary Prov
Page 493 and 494:
OCONEE SENECA The Weston Group I
Page 495 and 496:
SUMTER SUMTER Ancillary Provider
Page 497 and 498:
Ancillary Providers CHARLESTON M
Page 499 and 500:
Routine Vision Service Providers Th
Page 501 and 502:
vision-care providers abbeville abb
Page 503 and 504:
vision-care providers pendleton For
Page 505 and 506:
vision-care providers appel, Gary s
Page 507 and 508:
vision-care providers criswell, Mic
Page 509 and 510:
vision-care providers dungan, Willi
Page 511 and 512:
vision-care providers Hopkins, Jose
Page 513 and 514:
vision-care providers ray, tracy p
Page 515 and 516:
vision-care providers kershaw Mcdow
Page 517 and 518:
vision-care providers Mcelveen, kar
Page 519 and 520:
vision-care providers easley bible,
Page 521 and 522:
vision-care providers lowry Gary, b
Page 523 and 524:
vision-care providers vastis, nicko
Page 525 and 526:
vision-care providers Younger, Will
Page 527 and 528:
vision-care providers Mazhari, nima
Page 529 and 530:
Introduction This booklet provides
Page 531 and 532:
ABBEVILLE Calhoun Falls Callaway’
Page 533 and 534:
Retail Pharmacies Low Country Medic
Page 535 and 536:
Retail Pharmacies Ladson Piggly Wig
Page 537 and 538:
Retail Pharmacies Med Center Ltc Ph
Page 539 and 540:
Retail Pharmacies Timmonsville Timm
Page 541 and 542:
Retail Pharmacies Taylors Taylors D
Page 543 and 544:
Retail Pharmacies Mobley Drugs 1073
Page 545 and 546:
Retail Pharmacies Marlboro Drug Com
Page 547 and 548:
Retail Pharmacies The Medicine Mart
Page 549 and 550:
Retail Pharmacies Inman Kempson Rex
Page 551 and 552:
Retail Pharmacies Community Medicin
Page 553 and 554:
Long-Term Care Pharmacies HoRRy Lor
Page 555 and 556:
Home Infusion Pharmacies Medicare B
Page 557 and 558:
Indian Health Service/Tribal/ Urban
Page 559 and 560:
Provider Index 3 3D Medical Suppl
Page 561 and 562:
Provider Index Anguelova, Ivo V MD
Page 563 and 564:
Provider Index Belle, Larry J LISW
Page 565 and 566:
Provider Index Bozeman, Elizabeth W
Page 567 and 568:
Provider Index CallisWolfe, Rache
Page 569 and 570:
Provider Index Chillag, Kim J MD 28
Page 571 and 572:
Provider Index Cropper, Leland D MD
Page 573 and 574:
Provider Index DHEC Region II Home
Page 575 and 576:
Provider Index Edens, Gregory MD 86
Page 577 and 578:
Provider Index Fisher, Courtney M M
Page 579 and 580:
Provider Index Gandhi, Mukesh M MD
Page 581 and 582:
Provider Index Greer, Richard C MD
Page 583 and 584:
Provider Index Health Care Product
Page 585 and 586:
Provider Index Houston, Robert E MD
Page 587 and 588:
Provider Index Joglekar, Rajiv MD 5
Page 589 and 590:
Provider Index Kinard, John A Jr MD
Page 591 and 592:
Provider Index Leavitt, Anna T MD 8
Page 593 and 594:
Provider Index Macmillan, James P I
Page 595 and 596:
Provider Index McDonald, Jacquelyn
Page 597 and 598:
Provider Index Mims, William W Jr M
Page 599 and 600:
Provider Index Nechodom, Oonagh M F
Page 601 and 602:
Provider Index Palma, David T MD 23
Page 603 and 604:
Provider Index Phillips, Michael S
Page 605 and 606:
Provider Index Rankin, Howard J PhD
Page 607 and 608:
Provider Index Rogers, Richard L Sr
Page 609 and 610:
Provider Index Scott, Brian S MD 65
Page 611 and 612:
Provider Index Smith, Desmond E MD
Page 613 and 614:
Provider Index Stout, Donald M MD 1
Page 615 and 616:
Provider Index Timmons, Gloria H ED
Page 617 and 618:
Provider Index Vermillion, Stephen
Page 619 and 620:
Provider Index Whiteaker, Roberta G
Page 621:
Provider Index Yuko, Ronald T MD 25
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