Individual
MRS. LESLIE SYKES ANCRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-1414
Mailing address
2915 CATHEDRAL LANE, CHARLESTON, SC 29414
(843) 670-5008
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4094
SC
Other
Enumeration date
02/01/2010
Last updated
04/23/2012
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