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

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HORRY MYRTLE BEACH Goudie James S MD* Emergency Medicine Carolina Health Specialists 809 82nd Pkwy Myrtle Beach, SC, 29572 (843) 4975929 Hallock Irene D FNP Nurse Practitioner Forest Family Practice LLC 3874 Renee Dr Ste B Myrtle Beach, SC, 29579 (843) 9034401 Hanna Mark J DO* Emergency Medicine Carolina Health Specialists 5050 Highway 17 Byp S Myrtle Beach, SC, 29588 (843) 8396150 Hodge Michael L MD Neurology Hospital Identifier(S): 12, 40 Michael L Hodge MD LLC 731 Oxbow Dr Myrtle Beach, SC, 29579 (843) 9030374 Hopkins Melaine A MD Pathology Diagnostic Pathology Partners 809 82nd Pkwy Myrtle Beach, SC, 29572 (843) 4496521 Scdr Lang: SPANISH Jackson William A Jr MD* Cardiovascular Disease Hospital Identifier(S): 24 Cardiology Gastroenterology Associates 945 82nd Pkwy Ste 3 Myrtle Beach, SC, 29572 (843) 4493381 Specialists Jarrett Joe N Jr MD* Orthopedic Surgery Strand Orthopaedic Consultants 210 Village Center Blvd # 200 Myrtle Beach, SC, 29579 (843) 2363222 Kang Changho G MD* Physical Medicine & Rehabilitation Hospital Identifier(S): 24, 63 Changho Gregory Kang MD 3029 Newcastle Loop Myrtle Beach, SC, 29588 (843) 2158868 Karavan Mark P MD* Cardiovascular Disease Hospital Identifier(S): 24 Cardiology Gastroenterology Associates 945 82nd Pkwy Ste 3 Myrtle Beach, SC, 29572 (843) 4493381 Katalinich Gery B DPM Podiatry Hospital Identifier(S): 23, 24 Gery B Katalinich DPM 5046 Highway 17 Byp S Ste 102 Myrtle Beach, SC, 29588 (843) 2936366 KeefeTomasello Joanne A ANP Nurse Practitioner Doctors Care Strand Medical Center 1220 21St Ave N Myrtle Beach, SC, 29577 (843) 6269379 HORRY MYRTLE BEACH Kontos Jimmy L MD* Cardiovascular Disease Cardiology Gastroenterology Associates 945 82nd Pkwy Ste 3 Myrtle Beach, SC, 29572 (843) 4493381 Lale Erol MD* Cardiovascular Disease Hospital Identifier(S): 24 South Strand Cardiology LLC 207 Chartwell Ct Myrtle Beach, SC, 29588 (843) 2932700 Scdr Lang: GERMAN Lang Dennis J DO* Cardiovascular Disease South Strand Cardiology LLC 207 Chartwell Ct Myrtle Beach, SC, 29588 (843) 2932700 Lark Jarratt D MD* Emergency Medicine Hospital Identifier(S): 24 Carolina Health Specialists 809 82nd Pkwy Myrtle Beach, SC, 29572 (843) 4975929 Leak Robert S MD Orthopedic Surgery Hospital Identifier(S): 24 Strand Orthopaedic Consultants 210 Village Center Blvd # 200 Myrtle Beach, SC, 29579 (843) 2363222 Scdr Lang: FRENCH * Providers identified with an asterisk also accept Medicaid 275
HORRY MYRTLE BEACH Lee David B PA Physician's Assistant Strand Orthopaedic Consultants 210 Village Center Blvd # 200 Myrtle Beach, SC, 29579 (843) 2363222 Lemmel David F MD* Emergency Medicine Hospital Identifier(S): 24 Carolina Health Specialists 809 82nd Pkwy Myrtle Beach, SC, 29572 (843) 4975929 Lintz Scott A DO* Emergency Medicine Carolina Health Specialists 809 82nd Pkwy Myrtle Beach, SC, 29572 (843) 4975929 Loos Melissa B PA Physician's Assistant Lowcountry Infectious Diseases PA 931 Medical Cir Ste B Myrtle Beach, SC, 29572 (843) 4491640 Loskill Brian W PA Physician's Assistant Carolina Health Specialists 809 82nd Pkwy Myrtle Beach, SC, 29572 (843) 4975929 Malone Meghan L MD Gastroenterology Cardiology Gastroenterology Associates 945 82nd Pkwy Ste 3 Myrtle Beach, SC, 29572 (843) 4493381 Scdr Speciality: Internal Medicine Specialists Massie Mitchell T MD General Surgery Hospital Identifier(S): 24 Grand Strand Surgical Specialist 4600 Oleander Dr Ste A Myrtle Beach, SC, 29577 (843) 4672300 Scdr Speciality: Vascular Surgery Matzinger Steven A MD* General, Thoracic & Vascular Surgery Hospital Identifier(S): 24 Grand Strand Surgical Specialist 4600 Oleander Dr Ste A Myrtle Beach, SC, 29577 (843) 4672300 Mayhew Scott K MD* Emergency Medicine Carolina Health Specialists 809 82nd Pkwy Myrtle Beach, SC, 29572 (843) 4975929 McIntyre Alex B MD* Thoracic Surgery Hospital Identifier(S): 24 Coastal Cardiovascular Surgery LLC 933 Medical Cir Myrtle Beach, SC, 29572 (843) 4977772 Scdr Speciality: General Surgery McNabb Daniel M MD* Emergency Medicine Carolina Health Specialists 809 82nd Pkwy Myrtle Beach, SC, 29572 (843) 4975929 HORRY MYRTLE BEACH Merhi Eva OD Optometrist Merhi Eye Clinic 10820 Kings Rd Myrtle Beach, SC, 29572 (843) 4672060 Scdr Lang: SPANISH Merritt James O IV MD Orthopedic Surgery Hospital Identifier(S): 24 Strand Orthopaedic Consultants 210 Village Center Blvd # 200 Myrtle Beach, SC, 29579 (843) 2363222 Meza Yenney E MD* Emergency Medicine Carolina Health Specialists 809 82nd Pkwy Myrtle Beach, SC, 29572 (843) 4975929 Michaelis Christopher M DO Emergency Medicine Carolina Health Specialists 809 82nd Pkwy Myrtle Beach, SC, 29572 (843) 4975929 Misko Jeffry W MD* Emergency Medicine Carolina Health Specialists 809 82nd Pkwy Myrtle Beach, SC, 29572 (843) 4975929 Mock James N MD* Emergency Medicine Carolina Health Specialists 809 82nd Pkwy Myrtle Beach, SC, 29572 (843) 4975929 * Providers identified with an asterisk also accept Medicaid 276
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2011 Provider/Pharmacy Directory an
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TABLE OF CONTENTS PROVIDER DIRECTOR
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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
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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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Specialists CHARLESTON NORTH CHA
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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
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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
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
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
Page 281: HORRY MYRTLE BEACH Dean Mark T O
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
Page 301 and 302: LEXINGTON WEST COLUMBIA Speciali
Page 309 and 310: MARLBORO BENNETTSVILLE Specialis
Page 311 and 312: 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
Page 329 and 330: RICHLAND COLUMBIA Gabr Usama A M
Page 331 and 332: 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:
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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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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
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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