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Individual

RODNEY OWEN LEACOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3 RICHLAND MEDICAL PARK DR STE 310, COLUMBIA, SC 29203-6862
(803) 434-8323
(803) 296-8326
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(803) 434-6412
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
200300373
NC
2084V0102X
Vascular Neurology Physician
Primary
35018
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89134XV
NC
05
Q73003
SC
Enumeration date
10/03/2006
Last updated
03/10/2025
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