Individual
LEAH NICOLE HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC 333, CHARLESTON, SC 29425-8905
(843) 792-3072
Mailing address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC 333, CHARLESTON, SC 29425-8905
(843) 792-3072
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
38589
SC
Other
Enumeration date
06/28/2015
Last updated
06/28/2015
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