Individual
DR. MICHAEL REED LEADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 NNPTC CIR, GOOSE CREEK, SC 29445-6314
(081) 811-6000
Mailing address
110 NNPTC CIR, GOOSE CREEK, SC 29445-6314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24760
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396949079
NPI NUMBER
—
01
—
24760
STATE MEDICAL LICENSE
NE
Enumeration date
06/14/2007
Last updated
08/05/2025
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