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Individual

THOMAS ALLAN LEONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2755 S HIGHWAY 14 STE 1200L, GREER, SC 29650-4902
(864) 849-9150
(864) 849-9334
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
31292
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AA32107628
MEDICARE PIN
SC
05
N01116
SC
01
P00384466
MEDICARE B RAILROAD
TX
Enumeration date
04/10/2006
Last updated
03/30/2023
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