Individual
DR. JASON M LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 BROAD ST, STE100, SUMTER, SC 29150-4167
(803) 773-5227
(803) 774-5400
Mailing address
325 BROAD ST, SUITE 100, SUMTER, SC 29150-4167
(803) 773-5227
(803) 774-5400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27218
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272181
—
SC
01
—
P00473605
MEDICARE RR
SC
Enumeration date
10/18/2006
Last updated
02/07/2012
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