Individual
DR. JONATHAN LEGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
809 82ND PARKWAY, GRAND STRAND MEDICAL CENTER/ GME OFFICE, MYRTLE BEACH, SC 29572
(843) 692-1752
(843) 692-1904
Mailing address
105 MAXWELL RD, SPARTANBURG, SC 29302-3253
(919) 928-2906
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
LL40731
SC
Other
Enumeration date
03/23/2017
Last updated
07/21/2022
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