# THOMAS M LELAND MD PA

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

## Provider details

- **NPI number:** 1114192010
- **Authorized official:** DR. THOMAS MIKELL LELAND MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (843) 571-7337

## Contact information

- **Practice address:** 578 LONE TREE DR, SUITE 102, MT PLEASANT, SC 29464-8170
- **Practice address phone:** (843) 881-2020
- **Practice address fax:** (843) 881-2804
- **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 | 7912 | SC | Yes |

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 04/23/2008

## Other identifiers

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