Individual
LEAH DEANHARDT FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5733
(843) 402-1436
(843) 402-1833
Mailing address
PO BOX 632509, CINCINNATI, OH 45263-2508
(803) 765-1838
(803) 765-1732
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-114291
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
26186
SC
367500000X
Certified Registered Nurse Anesthetist
RN210086
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
822663026A
—
GA
Enumeration date
05/20/2010
Last updated
06/17/2026
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