Individual
JEREMY LEAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP,FNP-BC
Contact information
Practice address
107 WALNUT LN STE 101, NORTH AUGUSTA, SC 29860-8629
(803) 202-7159
(803) 202-7158
Mailing address
PO BOX 102038, ATLANTA, GA 30368-2038
(770) 801-2500
(770) 803-2121
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20430
SC
Other
Enumeration date
09/03/2016
Last updated
03/06/2024
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