Individual
MRS. LEEANNE BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 DUCK BLIND CT, SUMMERVILLE, SC 29483-2866
(843) 343-8803
Mailing address
105 DUCK BLIND CT, SUMMERVILLE, SC 29483-2866
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
226254
SC
163WC1500X
Community Health Registered Nurse
Primary
226254
SC
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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