Individual
MRS. CARMEN LEIGH LEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
745 SE MAIN ST, SIMPSONVILLE, SC 29681
(864) 963-1653
(864) 963-1692
Mailing address
PO BOX 1327, SIMPSONVILLE, SC 29681
(864) 963-1653
(864) 963-1692
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3564
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9644
—
SC
Enumeration date
07/31/2006
Last updated
07/08/2007
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