Individual
CARLOS LECCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3706
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
14382R
LA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
21188
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211880
—
SC
Enumeration date
06/16/2006
Last updated
08/01/2022
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