Individual
LEO J JESION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
501 ROBERTSON BLVD, WALTERBORO, SC 29488-2787
(843) 782-2767
(843) 549-6867
Mailing address
302 MEDICAL PARK DR, SUITE 210, WALTERBORO, SC 29488-5747
(843) 782-2767
(843) 549-6867
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
848
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008486
—
SC
Enumeration date
05/17/2006
Last updated
02/22/2010
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