Individual
DUSTIN PAUL LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
169 ASHLEY AVE, CHARLESTON, SC 29425-2827
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35 099936
OH
207P00000X
Emergency Medicine Physician
Primary
40887
SC
Other
Enumeration date
05/20/2009
Last updated
06/05/2017
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