# FALL PREVENTION ALLIANCE

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

## Provider details

- **NPI number:** 1245643212
- **Authorized official:** THOMAS MIKELL LELAND MD (MEMBER)
- **Authorized official phone:** (843) 494-3744

## Contact information

- **Practice address:** 418 FOLLY RD, SUITE A, CHARLESTON, SC 29412-2625
- **Practice address phone:** (843) 795-5362
- **Practice address fax:** (844) 584-3469
- **Mailing address:** 1739 MAYBANK HWY, SUITE T-612, CHARLESTON, SC 29412-2103
- **Mailing address phone:** (843) 494-3744
- **Mailing address fax:** (844) 584-3469

## Taxonomy

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

## Other

- **Enumeration date:** 06/08/2014
- **Last updated:** 07/22/2014