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

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GREENVILLE GREENVILLE Jorgensen Carla W MD* Oncology/Hematology Oncology & Hematology Assoc Of SC LLC Carolinas 3 Butternut Dr Ste B Greenville, SC, 29605 (864) 2417272 Jorgensen Jesse P MD* Cardiovascular Disease University Medical Group 877 W Faris Rd Ste B Greenville, SC, 29605 (864) 4556900 Joseph Smitha S DPM Podiatry Piedmont Podiatry Associates PA 11 Mills Ave Greenville, SC, 29605 (864) 2323668 Joyce William T III MD* Radiology Upstate Carolina Radiology PA 1 Saint Francis Dr Greenville, SC, 29601 (864) 2551043 Kabas John S MD* Thoracic Surgery Hospital Identifier(S): 5, 53 University Medical Group 890 W Faris Rd Ste 550 Greenville, SC, 29605 (864) 4556800 Scdr Speciality: Cardiovascular Disease Kallman David A MD* Radiology Upstate Carolina Radiology PA 1 Saint Francis Dr Greenville, SC, 29601 (864) 2551043 Specialists Kanipe Susan J FNP* Nurse Practitioner University Medical Group 20 Medical Ridge Dr Greenville, SC, 29605 (864) 2207270 Kanos Charles C MD Neurological Surgery Hospital Identifier(S): 25 University Medical Group 111 Doctors Dr Greenville, SC, 29605 (864) 7977150 Kao Neil L MD* Allergy Hospital Identifier(S): 53, 25 Allergic Disease & Asthma Center PA 1202 E Butler Rd Greenville, SC, 29607 (864) 6273800 Scdr Lang: SPANISH Kao Neil L MD* Allergy Hospital Identifier(S): 53, 25 Allergic Disease & Asthma Center PA 7 Memorial Medical Dr Greenville, SC, 29605 (864) 6273800 Scdr Lang: SPANISH Kavanagh Joseph A MD* Radiology Upstate Carolina Radiology PA 1 Saint Francis Dr Greenville, SC, 29601 (864) 2551043 GREENVILLE GREENVILLE Kavolus Christopher H MD* Orthopedic Surgery Hospital Identifier(S): 53 Piedmont Orthopaedic Associates 35 International Dr Greenville, SC, 29615 (864) 2349994 Keew Aurel PA Physician's Assistant Carolina Medical Rehabilitation 27 Creekview Ct Greenville, SC, 29615 (864) 6274032 Keffer James R DO* Physical Medicine & Rehabilitation University Medical Group 111 Doctors Dr Greenville, SC, 29605 (864) 7977100 Kelly Jason P MD* Radiology Upstate Carolina Radiology PA 1 Saint Francis Dr Greenville, SC, 29601 (864) 2551043 Kelly John W MD* Infectious Disease Hospital Identifier(S): 25 University Medical Group 890 W Faris Rd Ste 520 Greenville, SC, 29605 (864) 4559033 Kelly Michael W MD* Gastroenterology Hospital Identifier(S): 53, 25 Gastroenterology Associates PA 200 Patewood Dr Ste B200 Greenville, SC, 29615 (864) 2327338 Scdr Speciality: Internal Medicine * <strong>Provider</strong>s identified with an asterisk also accept Medicaid 223
GREENVILLE GREENVILLE Kelly Michael W MD* Gastroenterology Hospital Identifier(S): 53, 25 Gastroenterology Assoc PA 317 Saint Francis Dr Ste 170 Greenville, SC, 29601 (864) 2327338 Scdr Speciality: Internal Medicine Kendrick William C Jr MD* Nephrology Hospital Identifier(S): 25 Greenville Kidney Center PA 10 Memorial Medical Dr Greenville, SC, 29605 (864) 2201200 Scdr Speciality: Internal Medicine Kendrick William C Jr MD* Nephrology Hospital Identifier(S): 25 Greenville Kidney Center PA 605 S Academy St Greenville, SC, 29601 (864) 2425888 Scdr Speciality: Internal Medicine Kennerly Byron T MD* Anesthesiology Greenville Anesthesia PA 1007 Grove Rd Ste B Greenville, SC, 29605 (864) 2424602 Kim Eugene J MD Anesthesiology Greenville Anesthesia PA 1007 Grove Rd Ste B Greenville, SC, 29605 (864) 2424602 Specialists Kim John P MD* Anesthesiology Greenville Anesthesia PA 1007 Grove Rd Ste B Greenville, SC, 29605 (864) 2424602 Kim Suzy L MD* Gastroenterology Hospital Identifier(S): 53, 25 Gastroenterology Assoc PA 317 Saint Francis Dr Ste 170 Greenville, SC, 29601 (864) 2327338 Scdr Lang: KOREAN Scdr Speciality: Internal Medicine Kim Suzy L MD* Gastroenterology Hospital Identifier(S): 53, 25 Gastroenterology Associates PA 200 Patewood Dr Ste B200 Greenville, SC, 29615 (864) 2327338 Scdr Lang: KOREAN Scdr Speciality: Internal Medicine Kissenberth Michael J MD* Orthopedic Surgery Hospital Identifier(S): 25 University Medical Group 200 Patewood Dr Ste C100 Greenville, SC, 29615 (864) 4547422 Kistler Kent H MD* Neurology Hospital Identifier(S): 25 Neurology Assoc Of Greenville 1130 Grove Rd Greenville, SC, 29605 (864) 2329644 Scdr Lang: GERMAN GREENVILLE GREENVILLE Klimas Victor A MD* Nephrology Hospital Identifier(S): 53, 25 Carolina Nephrology PA 203 Mills Ave Greenville, SC, 29605 (864) 2711844 Scdr Speciality: Internal Medicine Kmonicek Joseph M MD* Cardiovascular Disease Hospital Identifier(S): 5, 25 University Medical Group 877 W Faris Rd Ste B Greenville, SC, 29605 (864) 4556900 Scdr Speciality: Internal Medicine Knight Edward B III MD* Pulmonary Disease Hospital Identifier(S): 56 University Medical Group 890 W Faris Rd Ste 580 Greenville, SC, 29605 (864) 4557874 Knight Edward B III MD* Pulmonary Disease Hospital Identifier(S): 56 University Medical Group 200 Patewood Dr Ste B300 Greenville, SC, 29615 (864) 4544200 Knox Richard F MD* Anesthesiology Greenville Anesthesia PA 1007 Grove Rd Ste B Greenville, SC, 29605 (864) 2424602 Kolat Katherine D NP Nurse Practitioner University Medical Group 890 W Faris Rd Ste 520 Greenville, SC, 29605 (864) 4559033 * <strong>Provider</strong>s identified with an asterisk also accept Medicaid 224
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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
Page 7 and 8:
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
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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
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BEAUFORT HILTON HEAD Young Charl
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BERKELEY DANIEL ISLAND O'Neill P
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BERKELEY MONCKS CORNER Specialis
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CHARLESTON CHARLESTON Specialist
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CHARLESTON MOUNT PLEASANT Specia
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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 and 204: GEORGETOWN PAWLEYS ISLAND Specia
Page 205 and 206: GREENVILLE GREENVILLE Ansari Moh
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: GREENVILLE GREENVILLE Jervey E D
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
Page 255 and 256: GREENVILLE GREENVILLE Terry Lewi
Page 257 and 258: GREENVILLE GREENVILLE Van Hale H
Page 259 and 260: GREENVILLE GREENVILLE Welborn Ju
Page 261 and 262: GREENVILLE GREENVILLE Wiper Dona
Page 263 and 264: GREENVILLE GREENVILLE Young Thom
Page 265 and 266: GREENVILLE GREER Johnson Gordon
Page 267 and 268: GREENVILLE GREER Thompson Mauree
Page 269 and 270: GREENVILLE SIMPSONVILLE Speciali
Page 275 and 276: GREENWOOD GREENWOOD Specialists
Page 277 and 278: HAMPTON VARNVILLE Lewin Albert R
Page 279 and 280: 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
Page 285 and 286:
HORRY MYRTLE BEACH Sloan Frank K
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JASPER HARDEEVILLE Coolidge Caro
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KERSHAW CAMDEN Olatosi Akinwale
Page 291 and 292:
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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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
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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
Page 447 and 448:
CHESTER CHESTER Hardin Lyles G D
Page 449 and 450:
GEORGETOWN ANDREWS GEORGETOWN AN
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GREENVILLE GREER GREER Kemp Moni
Page 453 and 454:
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
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
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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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