Individual
DR. LEONARD EDWARD MCGAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1514 N FANT ST, ANDERSON, SC 29621-4708
(864) 226-8559
(864) 226-8853
Mailing address
1514 N FANT ST, ANDERSON, SC 29621-4708
(864) 226-8559
(864) 226-8853
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
1337
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9593
—
SC
Enumeration date
02/15/2007
Last updated
01/03/2008
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