Individual
MAURICIO GALLEGOS LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC333, CHARLESTON, SC 29425
(843) 792-2731
Mailing address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC333, CHARLESTON, SC 29425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL92713
SC
390200000X
Student in an Organized Health Care Education/Training Program
13-3971298
NY
Other
Enumeration date
05/06/2024
Last updated
04/12/2025
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