Individual
LEAH STEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-3222
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38242
SC
207Q00000X
Family Medicine Physician
MD464526
PA
Other
Enumeration date
06/03/2015
Last updated
11/02/2021
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