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Organization
THOMAS M LELAND MD PA
Active
Organization
THOMAS M LELAND MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MIKELL LELAND MD (OWNER)
(843) 571-7337
Entity
Organization
Contact information
Practice address
1483 TOBIAS GADSON BLVD, SUITE 103, CHARLESTON, SC 29407-8702
(843) 571-7337
(843) 571-6911
Mailing address
1483 TOBIAS GADSON BLVD, SUITE 103, CHARLESTON, SC 29407-8702
(843) 571-7337
(843) 571-6911
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1246
—
SC
05
—
GP3104
—
SC
Enumeration date
01/12/2007
Last updated
04/22/2008
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