Individual
LEIGH ANN ROMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9 RICHLAND MEDICAL PARK DR STE 505, COLUMBIA, SC 29203-6844
(803) 434-2505
(803) 434-2181
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2596
SC
363A00000X
Physician Assistant
PA1001
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000631725
ANTHEM BCBS
KY
05
—
2795PA
—
SC
05
—
7100103210
—
KY
01
—
P00779378
RR MEDICARE
KY
Enumeration date
03/07/2007
Last updated
10/01/2024
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