Individual
DR. WALTER DAVID LEVENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
299 MIDLAND PKWY # A, SUMMERVILLE, SC 29485-8104
(843) 875-7901
(843) 832-2038
Mailing address
299 MIDLAND PKWY # A, SUMMERVILLE, SC 29485-8104
(843) 875-7901
(843) 832-2038
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8929
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089291
—
SC
Enumeration date
11/17/2006
Last updated
04/13/2011
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