Individual
DR. LEAH S TRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
149 SAINT JAMES AVE, GOOSE CREEK, SC 29445-2923
(843) 553-0526
(843) 266-1997
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16557
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080180698
RR MEDICARE
SC
01
—
080180923
RR MEDICARE
SC
01
—
P00813620
RAILROAD MEDICARE ID-RSFPN
SC
05
—
T10477
—
SC
Enumeration date
06/09/2006
Last updated
10/29/2020
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