Individual
MRS. MARY JEANNETTE LEONARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3443 PELHAM RD, SUITE 200, GREENVILLE, SC 29615-4178
(864) 254-9330
Mailing address
114 EDINBURGH PL, MOORE, SC 29369-9667
(864) 431-5775
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05053
NC
363A00000X
Physician Assistant
2125
SC
Other
Enumeration date
06/19/2014
Last updated
02/04/2021
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