Individual
LESLIE COURTNEY MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6522
Mailing address
PO BOX 745812, ATLANTA, GA 30374-5812
(704) 362-5391
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24306
SC
Other
Enumeration date
09/02/2020
Last updated
04/08/2022
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