Individual
ANNA LEE LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 N A ST, EASLEY, SC 29640-2144
(864) 855-0001
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
015587
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155879
—
SC
Enumeration date
11/02/2005
Last updated
11/10/2016
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