Organization
HUGH M LEAVENS M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUGH M LEAVENS MD (OWNER)
(803) 649-9200
Entity
Organization
Contact information
Practice address
103 WATERLOO ST SW, AIKEN, SC 29801-3756
(803) 649-9200
(803) 649-9005
Mailing address
103 WATERLOO ST SW, AIKEN, SC 29801-3756
(803) 649-9200
(803) 649-9005
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
17742
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1104
—
SC
Enumeration date
07/03/2006
Last updated
09/30/2010
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