Individual
MRS. JENNIFER DAWN LECKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, L.AC.
Contact information
Practice address
407 N BROWN ST, WEST COLUMBIA, SC 29169-5710
(803) 995-8936
(803) 995-8851
Mailing address
407 N BROWN ST, WEST COLUMBIA, SC 29169-5710
(803) 995-8936
(803) 995-8851
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3433
SC
Other
Enumeration date
01/14/2010
Last updated
02/12/2025
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