Individual
DR. RICHARD G LELAND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 ARBORLAND WAY, GREENVILLE, SC 29615-2201
(864) 297-6010
(864) 458-7673
Mailing address
12 ARBORLAND WAY, GREENVILLE, SC 29615-2201
(864) 297-6010
(864) 458-7673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17240
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172404
—
SC
01
—
SC7495J577
MEDICARE PIN
SC
Enumeration date
07/11/2006
Last updated
02/04/2021
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