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

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LEXINGTON LEXINGTON Saleeby Samuel G MD* Gastroenterology Hospital Identifier(S): 31 Consultants In Gastroenterology 811 W Main St Ste 208 Lexington, SC, 29072 (803) 7944585 Sallings Alison H ACNP Nurse Practitioner Lexington Family Practice White Knoll 5535 Platt Springs Rd Lexington, SC, 29073 (803) 9511880 Schaberg John W MD* Gastroenterology Hospital Identifier(S): 31 Consultants In Gastroenterology 811 W Main St Ste 208 Lexington, SC, 29072 (803) 7944585 Seabrook March E MD* Gastroenterology Hospital Identifier(S): 31 Consultants In Gastroenterology 811 W Main St Ste 208 Lexington, SC, 29072 (803) 7944585 Smith Paul D MD* General Surgery Hospital Identifier(S): 31 Lex Surgical Assoc Lex 723 S Lake Dr Lexington, SC, 29072 (803) 3594133 Scdr Lang: ENGLISH Scdr Speciality: Thoracic Surgery Specialists Stout Donald M MD* Emergency Medicine Luberoff Pediatrics 109 Vista Oaks Dr Ste C Lexington, SC, 29072 (803) 8080523 Taillon Michael P MD Emergency Medicine Hospital Identifier(S): 31 LMC Lexington Urgent Care 811 W Main St Lexington, SC, 29072 (803) 3586100 Tucker Lynn M MD* General Surgery Hospital Identifier(S): 31 Lex Surgical Assoc Lex 723 S Lake Dr Lexington, SC, 29072 (803) 3594133 Underwood Debra H FNP Nurse Practitioner Lexington Family Practice Lexington 122 Powell Dr Lexington, SC, 29072 (803) 9578400 Welch Michelle D MD Dermatology Dermatology Of Lexington LLC 200 Caughman Farm Ln Lexington, SC, 29072 (803) 9511717 Wild Garner J MD Ophthalmology Columbia Eye Clinic PA 100 Palmetto Park Blvd Lexington, SC, 29072 (803) 8030080 LEXINGTON SWANSEA Winn David C MD Emergency Medicine Hospital Identifier(S): 31 LMC Lexington Urgent Care 811 W Main St Lexington, SC, 29072 (803) 3586100 Woody Edward A MD* Ear, Nose & Throat Centa Medical Group PA 157 Corley Mill Rd Lexington, SC, 29072 (803) 2562483 SWANSEA Jarvis Barbara B CNM Midwife LMC Swansea 935 W 2nd St Swansea, SC, 29160 (803) 5682000 Levi Pamela D NP* Nurse Practitioner LMC Swansea 935 W 2nd St Swansea, SC, 29160 (803) 5682000 Mack Shanna H FNP* Nurse Practitioner LMC Swansea 935 W 2nd St Swansea, SC, 29160 (803) 5682000 Wolff Kristy M FNP Nurse Practitioner LMC Swansea 935 W 2nd St Swansea, SC, 29160 (803) 5682000 * Providers identified with an asterisk also accept Medicaid 293
LEXINGTON WEST COLUMBIA Specialists LEXINGTON WEST COLUMBIA WEST COLUMBIA Albert Francisco J DO* Hospitalist Hospital Identifier(S): 31 Medical Center Hospitalists 2720 Sunset Blvd West Columbia, SC, 29169 (803) 7912480 Scdr Lang: SPANISH Alligood Pamela R CNM Midwife Lexington Women's Care Lexington 2728 Sunset Blvd Ste 201 West Columbia, SC, 29169 (803) 9368100 Antonetti Marc C MD* General Surgery Hospital Identifier(S): 31 Riverside Surgical 146 Hospital Dr N Ste 430 West Columbia, SC, 29169 (803) 7912828 Armstrong Gail B FNP* Nurse Practitioner Lexington Family Practice WC 3314 Platt Springs Rd West Columbia, SC, 29170 (803) 7913494 Barwick Ethredge M MD* General Surgery Hospital Identifier(S): 31 Lex Surgical Assoc WC 2728 Sunset Blvd Ste 104 West Columbia, SC, 29169 (803) 3594133 Scdr Lang: ENGLISH Baugh John K MD Cardiovascular Disease Hospital Identifier(S): 31 Lexington Heart Clinic LLC 120 W Hospital Dr West Columbia, SC, 29169 (803) 7396500 Scdr Speciality: Internal Medicine Biediger Teresa M NP Nurse Practitioner Lexington Oncology Associates 2728 Sunset Blvd Ste 402 West Columbia, SC, 29169 (803) 7947511 Bobbett Gordon H II MD Emergency Medicine Hospital Identifier(S): 31 Lexington Medical Center 2720 Sunset Blvd West Columbia, SC, 29169 (803) 7912000 Scdr Speciality: Emergency Medicine Bogart Walter L III MD* Ophthalmology Hospital Identifier(S): 49 Carolina Eye Center PA 3227C Sunset Blvd West Columbia, SC, 29169 (803) 7940000 Boyd Scott B MD* Neurological Surgery Hospital Identifier(S): 31 Columbia Neurosurgical Assoc 132 Sunset Ct West Columbia, SC, 29169 (803) 4629523 Bretz Dianne L FNP* Nurse Practitioner Lexington Family Practice WC 3314 Platt Springs Rd West Columbia, SC, 29170 (803) 7913494 Bridges Marie CNM Midwife Lexington Women's Care Lexington 2728 Sunset Blvd Ste 201 West Columbia, SC, 29169 (803) 9368100 Brightbill Keith E MD* Urology Carolina Urology Practice Inc 111 Hospital Dr W West Columbia, SC, 29169 (803) 7968515 Brown Brandon E MD* Cardiovascular Disease Columbia Cardiology Consultants 131 Sunset Ct West Columbia, SC, 29169 (803) 7444940 Carlin Charles B MD Plastic Surgery Hospital Identifier(S): 31 C Brett Carlin MD PA 115 Hospital Dr W West Columbia, SC, 29169 (803) 7960969 Cauthen Natalie C MD* Infectious Disease Lexington Infectious Diseases 2728 Sunset Blvd Ste 308 West Columbia, SC, 29169 (803) 9367460 * Providers identified with an asterisk also accept Medicaid 294
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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
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*
Page 81 and 82:
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
Page 143 and 144:
ANDERSON ANDERSON Rekito Anthony
Page 145 and 146:
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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Page 167 and 168:
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CHARLESTON MOUNT PLEASANT Specia
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Page 179 and 180:
Specialists CHARLESTON NORTH CHA
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Page 185 and 186:
CHARLESTON SUMMERVILLE Specialis
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CHESTER CHESTER Percival Julie A
Page 189 and 190:
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
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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 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: LEXINGTON LEXINGTON Hydorn Chris
Page 303 and 304: 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
Page 333 and 334: RICHLAND COLUMBIA Jones Benjamin
Page 335 and 336: RICHLAND COLUMBIA Lovern Mark A
Page 337 and 338: RICHLAND COLUMBIA McLaughlin Nia
Page 339 and 340: RICHLAND COLUMBIA Norman Jennife
Page 341 and 342: RICHLAND COLUMBIA Rafiq Muhammad
Page 343 and 344: RICHLAND COLUMBIA Shenoy Rajeev
Page 345 and 346: RICHLAND COLUMBIA Thompson Steph
Page 347 and 348: RICHLAND COLUMBIA Wells John A J
Page 349 and 350: 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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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
Page 395 and 396:
YORK ROCK HILL Khandekar Suresh
Page 397 and 398:
YORK ROCK HILL Reuter Robert MD
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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
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AIKEN AIKEN Outpatient Mental He
Page 411 and 412:
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
Page 431 and 432:
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
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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