Individual
JODY LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3620 WALTON DR, MYRTLE BEACH, SC 29577-6781
(843) 839-1936
Mailing address
2821 ETON ST, MYRTLE BEACH, SC 29579-6711
(084) 399-9575
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HTP-1009
SC
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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