Organization
LEOPOLDO M. MUNIZ, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEOPOLDO M MUNIZ MD (OWNER/PHYSICIAN)
(803) 642-3505
Entity
Organization
Contact information
Practice address
101 SUMMERWOOD WAY, AIKEN, SC 29803-7701
(803) 642-3505
(803) 642-3918
Mailing address
101 SUMMERWOOD WAY, AIKEN, SC 29803-7701
(803) 642-3505
(803) 642-3918
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21000
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210007
—
SC
Enumeration date
12/06/2012
Last updated
12/06/2012
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