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Individual

LESLIE DAWN WILKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
9150 MEDCOM ST. STE B, N CHARLESTON, SC 29406
(843) 871-4006
(843) 871-4074
Mailing address
9150 MEDCOM ST. STE B, N CHARLESTON, SC 29406
(843) 871-4006
(843) 871-4074

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO36663
SC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
DO36663
SC
207RP1001X
Pulmonary Disease Physician
Primary
DO36663
SC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
DO36663
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
366632
SC
Enumeration date
07/25/2007
Last updated
10/02/2024
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