Individual
LEE R LEDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
96 JONATHAN LUCAS ST, MSC 622, CHARLESTON, SC 29425-8908
(843) 792-5607
(843) 792-3843
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
(843) 792-3843
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
000897
GA
207X00000X
Orthopaedic Surgery Physician
Primary
31854
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
318541
—
SC
Enumeration date
01/15/2008
Last updated
11/06/2020
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