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

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SPARTANBURG SPARTANBURG Specialists SPARTANBURG SPARTANBURG Pati Asim R MD* Oncology/Hematology Hospital Identifier(S): 56 Palmetto Hematology OncologyGibbes 380 Serpentine Dr Spartanburg, SC, 29303 (864) 5607050 Scdr Lang: BENGALI Scdr Speciality: Internal Medicine Patrick Thomas Jr DPM Podiatry Thomas Patrick Jr DPM 184 Oakland Ave Spartanburg, SC, 29302 (864) 5828570 Patterson Christopher J MD* Geriatrics Hospital Identifier(S): 56 Network Geriatric Services PA 103 S Pine St Spartanburg, SC, 29302 (864) 3271510 Pelino David E DO* Radiology Upstate Carolina Radiology PA 101 E Wood St Spartanburg, SC, 29303 (864) 5606522 Penka Rachelle R OD* Optometrist Carolina Vision Associates LLC 180 N Dean St Spartanburg, SC, 29302 (864) 5833125 Perkins Amanda G PNP Nurse Practitioner University Medical Group 11 Doctors Park Dr Ste 200 Spartanburg, SC, 29307 (864) 5738732 Poole Edgar M OD* Optometrist Edgar Poole Jr OD 705 E Main St Spartanburg, SC, 29302 (864) 5853281 Poole Leslie B SLP Speech Pathologist/Speech Therapist The Weston Group Inc Emeritus Assisted Living 1705 Skylyn Dr Spartanburg, SC, 29307 (864) 5826838 Potes Ernesto MD* Neurology Hospital Identifier(S): 37, 56 Mary Black Physicians Group LLC 2995 Reidville Rd Ste 210 Spartanburg, SC, 29301 (864) 5827892 Scdr Lang: SPANISH Potes Ernesto MD* Neurology Hospital Identifier(S): 37, 56 Neurology Centers Of The Carolinas PA 460 Langdon St Spartanburg, SC, 29302 (864) 5422510 Scdr Lang: SPANISH Powell Margaret F OD* Optometrist Carolina Vision Associates LLC 180 N Dean St Spartanburg, SC, 29302 (864) 5833125 Scdr Lang: AMERICAN SIGN LANGUAGE Prather Brad A MD Orthopedic Surgery University Medical Group 333 S Pine St Spartanburg, SC, 29302 (864) 5157520 Pryor Michael B MD* Urology Urology Center Of Spartanburg 391 Serpentine Dr Ste 500 Spartanburg, SC, 29303 (864) 5858221 Quintero Carmen PNP Nurse Practitioner University Medical Group 11 Doctors Park Dr Ste 200 Spartanburg, SC, 29307 (864) 5738732 Raines Martha A NP Nurse Practitioner Regional Vascular Access Services 100 E Wood St Ste 202 Spartanburg, SC, 29303 (864) 5607070 Rana Yashbir S MD* Emergency Medicine Hospital Identifier(S): 37 Mary Black Physicians Group LLC 2995 Reidville Rd Ste 210 Spartanburg, SC, 29301 (864) 5827892 Scdr Lang: HINDI Raunikar Robert A MD* Pediatric Cardiology Hospital Identifier(S): 25, 37 Mary Black Physicians Group LLC 2995 Reidville Rd Ste 210 Spartanburg, SC, 29301 (864) 5827892 Scdr Speciality: Pediatrics Raunikar Robert A MD* Pediatric Cardiology Hospital Identifier(S): 25, 37 University Medical Group 11 Doctors Park Dr Ste 200 Spartanburg, SC, 29307 (864) 5738732 Scdr Speciality: Pediatrics * Providers identified with an asterisk also accept Medicaid 371
SPARTANBURG SPARTANBURG Specialists SPARTANBURG SPARTANBURG Reinhardt Richard B Jr MD* General Surgery Palmetto Surgical Specialists 1330 Boiling Springs Rd #2300 Spartanburg, SC, 29303 (864) 5856491 Reistroffer Madeline A FNP Nurse Practitioner Palmetto Hematology OncologyGibbes 380 Serpentine Dr Spartanburg, SC, 29303 (864) 5607050 Rice Melissa K PA Physician's Assistant Foothills Cardiothoracic 225 E Wood St Spartanburg, SC, 29303 (864) 5834420 Riel Michael A DO* Gastroenterology Hospital Identifier(S): 37, 56 Gastroenterology Associates Regional Outpatient Center 853 N Church St Ste 620 Spartanburg, SC, 29303 (864) 5737511 Scdr Speciality: Internal Medicine Ringel Robert A MD* Neurology Hospital Identifier(S): 37, 56 Neurology Centers Of The Carolinas PA 460 Langdon St Spartanburg, SC, 29302 (864) 5422510 Ringel Robert A MD* Neurology Hospital Identifier(S): 37, 56 Mary Black Physicians Group LLC 2995 Reidville Rd Ste 210 Spartanburg, SC, 29301 (864) 5827892 Robbins Cynthia B FNP Nurse Practitioner Regional Occupational Health 8311 Warren H Abernathy Hwy Spartanburg, SC, 29301 (864) 5625100 Rodak David J MD* Cardiovascular Disease Hospital Identifier(S): 37, 56 Cardiology Consultants PA 1083 Boiling Springs Rd Spartanburg, SC, 29303 (864) 5838647 Rodak David J MD* Cardiovascular Disease Hospital Identifier(S): 37, 56 Cardiology Consultants PA 1690 Skylyn Dr Spartanburg, SC, 29307 (864) 6994109 Rodak David J MD* Cardiovascular Disease Hospital Identifier(S): 37, 56 Mary Black Physicians Group LLC 2995 Reidville Rd Ste 210 Spartanburg, SC, 29301 (864) 5827892 Rodrigo Juan J MD* Orthopedic Surgery Hospital Identifier(S): 37 University Medical Group 333 S Pine St Spartanburg, SC, 29302 (864) 5157520 Scdr Lang: ENGLISH Rodriguez Marco A MD Orthopedic Surgery Hospital Identifier(S): 56 Orthopaedic Specialties Of Spartanburg 303 E Wood St Spartanburg, SC, 29303 (864) 2088800 Roel Lawrence E MD* Ophthalmology Hospital Identifier(S): 37, 56 Eastside Eye Center 735 E Main St Spartanburg, SC, 29302 (864) 5421308 Scdr Lang: SPANISH Roel Lawrence E MD* Ophthalmology Hospital Identifier(S): 37, 56 Westside Eye Center 1413 John B White Sr Blvd Ste Spartanburg, SC, 29306 (864) 5747767 Scdr Lang: SPANISH Rollins Gerald L MD Orthopedic Surgery Hospital Identifier(S): 56 Orthopaedic Associates PA 1330 Boiling Springs Rd #1600 Spartanburg, SC, 29303 (864) 5826396 * Providers identified with an asterisk also accept Medicaid 372
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2011 Provider/Pharmacy Directory an
Page 3 and 4:
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
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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
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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
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GREENVILLE GREENVILLE Sarmiento
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GREENVILLE GREENVILLE Shusterman
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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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Page 273 and 274:
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GREENWOOD GREENWOOD Specialists
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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
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HORRY MYRTLE BEACH Sloan Frank K
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JASPER HARDEEVILLE Coolidge Caro
Page 289 and 290:
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
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
Page 353 and 354: SPARTANBURG INMAN Penka Rachelle
Page 355 and 356: SPARTANBURG SPARTANBURG Speciali
Page 377: SPARTANBURG SPARTANBURG Speciali
Page 389 and 390: SUMTER SUMTER Moses Henry P MD*
Page 391 and 392: UNION UNION Wren John D MD* Path
Page 393 and 394: YORK ROCK HILL Blackwell James B
Page 395 and 396: YORK ROCK HILL Khandekar Suresh
Page 397 and 398: YORK ROCK HILL Reuter Robert MD
Page 399 and 400: ABBEVILLE ABBEVILLE ABBEVILLE AB
Page 401 and 402: HORRY LORIS HORRY LORIS Loris Co
Page 403 and 404: AIKEN AIKEN AIKEN AIKEN Carriage
Page 405 and 406: FAIRFIELD RIDGEWAY FAIRFIELD RID
Page 407 and 408: LEXINGTON WEST COLUMBIA Skilled
Page 409 and 410: AIKEN AIKEN Outpatient Mental He
Page 411 and 412: BEAUFORT BEAUFORT Outpatient Men
Page 413 and 414: Outpatient Mental Health Providers
Page 427 and 428: HORRY MYRTLE BEACH Outpatient Me
Page 429 and 430:
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:
Outpatient Mental Health Providers
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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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