Individual
LEAH GOODWIN HOPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-5296
(843) 792-1414
Mailing address
107 BELFORT PL, SUMMERVILLE, SC 29486-2456
(703) 963-3560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
GAA-NP002428
GA
363LF0000X
Family Nurse Practitioner
21723
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21723
STATE LICENSE
SC
Enumeration date
07/13/2018
Last updated
07/18/2024
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