Individual
DR. CHRISTOPHER W. LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
23 PLANTATION PARK DR, STE 401B, BLUFFTON, SC 29910-6094
(843) 815-5566
Mailing address
23 PLANTATION PARK DR, STE 401B, BLUFFTON, SC 29910-6094
(843) 422-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TL985
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E499
GROUP MEDICARE PTAN
SC
01
—
GP6817
MEDICAID GROUP LEGACY
SC
01
—
P01163665
RAILROAD MEDICARE
SC
Enumeration date
06/06/2006
Last updated
07/24/2018
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