Individual
LESLIE TANNERY SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
679 ORANGEBURG RD STE F, SUMMERVILLE, SC 29483-8914
(843) 261-2600
Mailing address
679 ORANGEBURG RD STE F, SUMMERVILLE, SC 29483-8914
(843) 261-2600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19925
SC
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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