Individual
DR. JAY B LEIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
140 BRIDGES RD, MAULDIN, SC 29662-3259
(864) 626-3588
Mailing address
140 BRIDGES RD, MAULDIN, SC 29662-3259
(864) 626-3588
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2147
SC
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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