# THOMAS M LELAND MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104977701
- **Authorized official:** THOMAS MIKELL LELAND MD (OWNER)
- **Authorized official phone:** (843) 571-7337

## Contact information

- **Practice address:** 1483 TOBIAS GADSON BLVD, SUITE 103, CHARLESTON, SC 29407-8702
- **Practice address phone:** (843) 571-7337
- **Practice address fax:** (843) 571-6911
- **Mailing address:** 1483 TOBIAS GADSON BLVD, SUITE 103, CHARLESTON, SC 29407-8702
- **Mailing address phone:** (843) 571-7337
- **Mailing address fax:** (843) 571-6911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 04/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP1246 | — | SC |
| 05 | — | GP3104 | — | SC |