Individual
AHMAD ALEISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, CHARLESTON, SC 29425
(843) 792-4047
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 792-4047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL51468
SC
Other
Enumeration date
08/11/2017
Last updated
07/21/2022
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