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

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GREENVILLE GREENVILLE Acosta Jerry L MD* Thoracic Surgery Hospital Identifier(S): 5, 53 ST Francis Cardiovascular & Thoracic 317 Saint Francis Dr Ste 120 Greenville, SC, 29601 (864) 2551317 Scdr Lang: ENGLISH Acres George S MD* Nephrology Hospital Identifier(S): 53, 25 Carolina Nephrology PA 203 Mills Ave Greenville, SC, 29605 (864) 2711844 Agha Amir M MD Rheumatology Foothills Rheumatology 138 Milestone Way Ste B Greenville, SC, 29615 (864) 2882883 Akor Charlotte M MD* Ophthalmology University Medical Group 200 Patewood Dr Ste A200 Greenville, SC, 29615 (864) 4545110 Alexander Andrea A NP Nurse Practitioner University Medical Group 890 W Faris Rd Ste 470 Greenville, SC, 29605 (864) 4551600 Alexander Andrea A NP Nurse Practitioner University Medical Group 200 Patewood Dr Ste A10 Greenville, SC, 29615 (864) 4551600 Specialists Alexander Andrea A NP Nurse Practitioner University Medical Group 1120 Grove Rd Ste B Greenville, SC, 29605 (864) 4558897 Alexander Andrea A NP Nurse Practitioner University Medical Group 48 Cross Park Ct Greenville, SC, 29605 (864) 2351122 Alioua Chokri MD* Nephrology Hospital Identifier(S): 53, 25 Carolina Nephrology PA 203 Mills Ave Greenville, SC, 29605 (864) 2711844 Scdr Lang: FRENCH Scdr Speciality: Internal Medicine Allen Leighton C Jr MD* Radiology Greenville Radiology PA 1210 W Faris Rd Greenville, SC, 29605 (864) 2954422 Allen Leighton C Jr MD* Radiology University Medical Group 1210 W Faris Rd Greenville, SC, 29605 (864) 2954410 Amrhein James A MD* Endocrinology Hospital Identifier(S): 25 University Medical Group 200 Patewood Dr Ste A320 Greenville, SC, 29615 (864) 4545100 Scdr Speciality: Pediatrics GREENVILLE GREENVILLE Anderson David G MD* General Surgery Hospital Identifier(S): 19 Carolina Surgical Associates 3 Saint Francis Dr Ste 360 Greenville, SC, 29601 (864) 2334349 Anderson James K OD* Optometrist James Keith Anderson OD 4010 E North St Greenville, SC, 29615 (864) 2920262 Anderson Joseph T MD* Orthopedic Surgery Hospital Identifier(S): 25 University Medical Group 200 Patewood Dr Ste C100 Greenville, SC, 29615 (864) 4547422 Androes Mark P MD* General Surgery University Medical Group 200 Patewood Dr Ste C300 Greenville, SC, 29615 (864) 4548272 Androes Mark P MD* General Surgery University Medical Group 890 W Faris Rd Ste 310 Greenville, SC, 29605 (864) 9919900 Anica Iordanca D MD* Pain Management Pain Management Assoc 1005 Grove Rd Greenville, SC, 29605 (864) 4043094 Scdr Lang: ROMANIAN * Providers identified with an asterisk also accept Medicaid 197
GREENVILLE GREENVILLE Ansari Mohammad T MD* Pulmonary Disease Hospital Identifier(S): 25 University Medical Group 200 Patewood Dr Ste B300 Greenville, SC, 29615 (864) 4544200 Scdr Speciality: Internal Medicine Appleby Douglas C Jr MD* Thoracic Surgery Hospital Identifier(S): 25 University Medical Group 890 W Faris Rd Ste 550 Greenville, SC, 29605 (864) 4556800 Areford Matthew L MD* General Surgery University Medical Group 35 Medical Ridge Dr Greenville, SC, 29605 (864) 2320055 Areford Matthew L MD* General Surgery University Medical Group 200 Patewood Dr Ste B260 Greenville, SC, 29615 (864) 4542100 Arrowsmith Dianne J FNP Nurse Practitioner Minuteclinic Diagnostic Of S Carolina 2210 Laurens Rd Greenville, SC, 29607 (864) 2888280 Atherton Ann R PNP* Nurse Practitioner North Hills Medical Center 800 Pelham Rd Greenville, SC, 29615 (864) 2345800 Specialists Avant Michael G MD* Pediatric Critical Care Hospital Identifier(S): 25 University Medical Group 701 Grove Rd Fl 6 Greenville, SC, 29605 (864) 4558911 Scdr Speciality: Pediatrics Avant Michael G MD* Pediatric Critical Care Hospital Identifier(S): 25 University Medical Group 900 W Faris Rd Greenville, SC, 29605 (864) 6793900 Scdr Speciality: Pediatrics Awan Nasir J MD* Pulmonary Disease Hospital Identifier(S): 53, 48 Palmetto Pulmonary And Critical Care 3 Saint Francis Dr Ste 300 Greenville, SC, 29601 (864) 2338063 Scdr Speciality: Internal Medicine Azain Gail D FNP* Nurse Practitioner University Medical Group 200 Patewood Dr Ste B350 Greenville, SC, 29615 (864) 4544500 Baghdady Brian H MD* Radiology Southern Vascular Institute 3 Saint Francis Dr Greenville, SC, 29601 (864) 5606722 Bailey Elizabeth M MD* Pathology Pathology Consultants Inc 8 Memorial Medical Ct Ste 1 Greenville, SC, 29605 (864) 2953492 GREENVILLE GREENVILLE Bailey Elizabeth M MD* Pathology Pathology Associates Of Greenville 8 Memorial Medical Ct Ste 1 Greenville, SC, 29605 (864) 2953492 Ballinger William H Jr MD* Ophthalmology Hospital Identifier(S): 53, 25 Jervey Eye Group PA 1 Doctors Dr Greenville, SC, 29605 (864) 4583900 Baranski Sarah D ANP Nurse Practitioner IMA Of Greenville 1025 Verdae Blvd Ste A Greenville, SC, 29607 (864) 2424683 Barcinas Gary P PA Physician's Assistant Carolina Medical Rehabilitation 27 Creekview Ct Greenville, SC, 29615 (864) 6274032 Barron Florencia NP Nurse Practitioner North Hills Medical Center 800 Pelham Rd Greenville, SC, 29615 (864) 2345800 Scdr Lang: ITALIAN Bastian Holly M MD Rheumatology Piedmont Arthritis Clinic 3 Saint Francis Dr Ste 400 Greenville, SC, 29601 (864) 2358396 * Providers identified with an asterisk also accept Medicaid 198
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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
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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
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GREENVILLE TAYLORS Primary Care
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GREENWOOD GREENWOOD Primary Care
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HORRY LITTLE RIVER LITTLE RIVER
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HORRY MYRTLE BEACH Haq Ahmad T M
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HORRY MYRTLE BEACH Tangeman Lind
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LANCASTER FORT MILL Shah Amit G
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LANCASTER LANCASTER Primary Care
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LEXINGTON CHAPIN Venegas J M MD*
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LEXINGTON IRMO Guram Surbjinder
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LEXINGTON LEXINGTON PriceBost
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LEXINGTON WEST COLUMBIA Primary
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LEXINGTON WEST COLUMBIA Primary
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NEWBERRY NEWBERRY Godoy Franco B
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Primary Care Physicians ORANGEBURG
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PICKENS CLEMSON Rhodes Tiffany L
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PICKENS EASLEY Swiger Barry R MD
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RICHLAND COLUMBIA Burnham Willia
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RICHLAND COLUMBIA Harper Greta S
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RICHLAND COLUMBIA Joy Annarosan
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RICHLAND COLUMBIA Nwanagu Jonath
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RICHLAND COLUMBIA Schumacher Sar
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RICHLAND IRMO IRMO CallisWolfe
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SPARTANBURG GREER OtubuScipio
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Primary Care Physicians SPARTANBURG
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SUMTER SUMTER Riddle Samuel M II
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YORK YORK Thomas Aydrian L MD* F
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AIKEN AIKEN Maniam Prakash N MD
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ANDERSON ANDERSON ANDERSON ANDER
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ANDERSON ANDERSON George Matthew
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ANDERSON ANDERSON Malpass David
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ANDERSON ANDERSON Rekito Anthony
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ANDERSON ANDERSON Wilson Freddie
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BARNWELL BARNWELL Patel Devesh R
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BEAUFORT BLUFFTON Warner George
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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 171 and 172: CHARLESTON MOUNT PLEASANT Specia
Page 179 and 180: Specialists CHARLESTON NORTH CHA
Page 185 and 186: CHARLESTON SUMMERVILLE Specialis
Page 187 and 188: CHESTER CHESTER Percival Julie A
Page 189 and 190: COLLETON WALTERBORO COLLETON WAL
Page 191 and 192: DARLINGTON HARTSVILLE Nwankudu N
Page 193 and 194: DORCHESTER SUMMERVILLE Specialis
Page 195 and 196: FLORENCE FLORENCE Bishara Lisa A
Page 197 and 198: FLORENCE FLORENCE Jobe John S MD
Page 199 and 200: FLORENCE FLORENCE Pande Meenaksh
Page 201 and 202: FLORENCE LAKE CITY Palmer Susan
Page 203: GEORGETOWN PAWLEYS ISLAND Specia
Page 207 and 208: GREENVILLE GREENVILLE Blouin Gay
Page 209 and 210: GREENVILLE GREENVILLE Brown Eric
Page 211 and 212: GREENVILLE GREENVILLE Specialist
Page 213 and 214: GREENVILLE GREENVILLE Cobb Willi
Page 215 and 216: GREENVILLE GREENVILLE Curran Wil
Page 217 and 218: GREENVILLE GREENVILLE Dodge Rhet
Page 219 and 220: GREENVILLE GREENVILLE Ferlauto G
Page 221 and 222: GREENVILLE GREENVILLE Galbraith
Page 223 and 224: GREENVILLE GREENVILLE Gray Linda
Page 225 and 226: GREENVILLE GREENVILLE Hayes Lloy
Page 227 and 228: GREENVILLE GREENVILLE Horton Sam
Page 229 and 230: GREENVILLE GREENVILLE Jervey E D
Page 231 and 232: GREENVILLE GREENVILLE Kelly Mich
Page 233 and 234: GREENVILLE GREENVILLE Lashley Je
Page 235 and 236: GREENVILLE GREENVILLE Mabie Bill
Page 237 and 238: GREENVILLE GREENVILLE McCarter J
Page 239 and 240: GREENVILLE GREENVILLE Merchant V
Page 241 and 242: GREENVILLE GREENVILLE Murphy R R
Page 243 and 244: GREENVILLE GREENVILLE Pace Thoma
Page 245 and 246: GREENVILLE GREENVILLE Phillips M
Page 247 and 248: GREENVILLE GREENVILLE Riddle Cha
Page 249 and 250: GREENVILLE GREENVILLE Sarmiento
Page 251 and 252: GREENVILLE GREENVILLE Shusterman
Page 253 and 254: GREENVILLE GREENVILLE Spivey Jud
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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
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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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GREENWOOD GREENWOOD Specialists
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HAMPTON VARNVILLE Lewin Albert R
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HORRY LORIS Pande Amit V MD* Car
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HORRY MYRTLE BEACH Dean Mark T O
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HORRY MYRTLE BEACH Lee David B P
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HORRY MYRTLE BEACH Sloan Frank K
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JASPER HARDEEVILLE Coolidge Caro
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KERSHAW CAMDEN Olatosi Akinwale
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LANCASTER LANCASTER Makhuli Mark
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LAURENS CLINTON Yu Henry MD* Nep
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LEXINGTON COLUMBIA Miller Stewar
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LEXINGTON IRMO O'Leary James A M
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LEXINGTON LEXINGTON Hydorn Chris
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LEXINGTON WEST COLUMBIA Speciali
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MARLBORO BENNETTSVILLE Specialis
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OCONEE SENECA Carter George E II
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ORANGEBURG NORTH NORTH Tharp Sho
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ORANGEBURG ORANGEBURG Specialist
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ORANGEBURG ORANGEBURG Specialist
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PICKENS EASLEY Edenfield William
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PICKENS PICKENS PICKENS Spearman
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RICHLAND COLUMBIA Boyd Robert E
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RICHLAND COLUMBIA Carroll Vernon
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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
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RICHLAND COLUMBIA Shenoy Rajeev
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RICHLAND COLUMBIA Thompson Steph
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RICHLAND COLUMBIA Wells John A J
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SPARTANBURG BOILING SPRINGS Spec
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SPARTANBURG GREER Kallman David
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SPARTANBURG INMAN Penka Rachelle
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SPARTANBURG SPARTANBURG Speciali
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SUMTER SUMTER Moses Henry P MD*
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UNION UNION Wren John D MD* Path
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YORK ROCK HILL Blackwell James B
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YORK ROCK HILL Khandekar Suresh
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YORK ROCK HILL Reuter Robert MD
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ABBEVILLE ABBEVILLE ABBEVILLE AB
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HORRY LORIS HORRY LORIS Loris Co
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AIKEN AIKEN AIKEN AIKEN Carriage
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FAIRFIELD RIDGEWAY FAIRFIELD RID
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LEXINGTON WEST COLUMBIA Skilled
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AIKEN AIKEN Outpatient Mental He
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BEAUFORT BEAUFORT Outpatient Men
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Outpatient Mental Health Providers
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HORRY MYRTLE BEACH Outpatient Me
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LEXINGTON COLUMBIA Outpatient Me
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NEWBERRY NEWBERRY Outpatient Men
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RICHLAND COLUMBIA Outpatient Men
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Page 437 and 438:
Page 439 and 440:
Page 441 and 442:
YORK ROCK HILL Munson Catherine
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ANDERSON BELTON Chiropractors BE
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CHARLESTON CHARLESTON Chiropract
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CHESTER CHESTER Hardin Lyles G D
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GEORGETOWN ANDREWS GEORGETOWN AN
Page 451 and 452:
GREENVILLE GREER GREER Kemp Moni
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LEXINGTON CHAPIN Nelson Matthew
Page 455 and 456:
PICKENS EASLEY Naumann Victoria
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SPARTANBURG SPARTANBURG Chiropra
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YORK ROCK HILL Muschik Jeffery M
Page 461 and 462:
LEXINGTON WEST COLUMBIA Ancillar
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GREENVILLE GREENVILLE Greenville
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CHESTER CHESTER BMA Of Chester 5
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FAIRFIELD WINNSBORO Fresenius Me
Page 469 and 470:
GREENVILLE GREENVILLE Adam Medic
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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
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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
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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
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vision-care providers vastis, nicko
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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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