Individual
TERRELL T LEEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
103 FAIRVIEW POINTE DR, SIMPSONVILLE, SC 29681-3223
(864) 967-4982
Mailing address
103 FAIRVIEW POINTE DR, SIMPSONVILLE, SC 29681-3223
(864) 967-4982
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9345
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0435
—
SC
Enumeration date
06/22/2006
Last updated
10/31/2014
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