Individual
RUVIM LEONTYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
606 BLACK RIVER RD, GEORGETOWN, SC 29440-3304
(843) 527-7000
Mailing address
14 LOCKWOOD DR APT 6A, CHARLESTON, SC 29401-1132
(864) 381-5477
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
29045
SC
Other
Enumeration date
07/24/2023
Last updated
09/05/2024
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