Individual
LESLIE JAMES HELLENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 TAYLOR ST, COLUMBIA, SC 29201-2942
(803) 296-5914
(803) 596-5902
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
18489
SC
363LP2300X
Primary Care Nurse Practitioner
18489
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2745
—
SC
Enumeration date
11/12/2013
Last updated
01/18/2023
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