Individual
DR. LELAND CRUMPTON STODDARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
BEAUFORT MEMORIAL ORTHOPAEDIC SPECIALISTS, 300 MIDTOWN DR, BEAUFORT, SC 29906-5200
(843) 522-7100
(844) 296-2303
Mailing address
955 RIBAUT RD, BMAC CREDENTIALING, BEAUFORT, SC 29902-5441
(843) 522-5674
(843) 522-5678
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9845
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098450
—
SC
Enumeration date
11/08/2006
Last updated
07/24/2019
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