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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
DR. THOMAS MIKELL LELAND MD (PHYSICIAN/OWNER)
(843) 571-7337
Entity
Organization
Contact information
Practice address
578 LONE TREE DR, SUITE 102, MT PLEASANT, SC 29464-8170
(843) 881-2020
(843) 881-2804
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
7912
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3104
—
SC
Enumeration date
04/23/2008
Last updated
04/23/2008
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