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Individual

DR. THOMAS M LELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 CHARLIE HALL BLVD, CHARLESTON, SC 29414
(843) 696-6988
(843) 696-6988
Mailing address
1739 MAYBANK HWY, STE T-112, CHARLESTON, SC 29412-2103
(843) 696-6988

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
7912
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1528069879
NPI
05
GP1246
SC
Enumeration date
08/09/2005
Last updated
05/28/2013
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