Individual
MICHAEL T LEDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
200 S HERLONG AVE STE H, ROCK HILL, SC 29732-1182
(803) 366-6135
(803) 366-3439
Mailing address
200 S HERLONG AVE STE H, ROCK HILL, SC 29732-1182
(803) 366-6135
(803) 366-3439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
954
SC
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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