Individual
LEAH FENNELL BARAHONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2013-00299
NC
2084P0800X
Psychiatry Physician
ME92381
FL
Other
Enumeration date
11/26/2007
Last updated
12/29/2016
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