| NPI |
Provider Name |
Address |
Type |
| 1124247754 | MR. BRIAN E. GRAY, D.P.T. | 420 POLIFKA DR BLDG 1042
SHAW AFB, SC
ZIP 29152
Phone: (803) 728-0421
| Individual |
| 1598129512 | MISS BROOKE L. GREEN, P.T.A. | 428-3 MCNULTY ROAD
BLYTHEWOOD, SC
ZIP 29016
Phone: (803) 728-0421
| Individual |
| 1548686520 | WENDY MONROE | 309 BEAUMONT PARK CIR
BLYTHEWOOD, SC
ZIP 29016
Phone: (803) 691-1008
| Individual |
| 1871210039 | MR. SAMUEL C SHANNON, PTA | 420B MCNULTY ST
BLYTHEWOOD, SC
ZIP 29016
Phone: (803) 728-0421
| Individual |