Individual
DR. LEVERNE M PROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 RICHLAND MEDICAL PARK DR, SUITE 300, COLUMBIA, SC 29203-8005
(803) 256-6511
(803) 744-4731
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
19572
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19572
SC LICENSE
SC
05
—
195728
—
SC
Enumeration date
07/15/2005
Last updated
11/21/2024
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