Individual
SHANDEL LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
336 FOX SQUIRREL CIR, COLUMBIA, SC 29209-4481
(803) 960-3423
Mailing address
336 FOX SQUIRREL CIR, COLUMBIA, SC 29209-4481
(803) 960-3423
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25129
SC
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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