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Individual

DR. LEONARDO FATOR GOUVEA BONILHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D. , PH.D.

Contact information

Practice address
8 RICHLAND MEDICAL PARK DR STE 420, COLUMBIA, SC 29203-8004
(803) 434-8050
(803) 933-3005
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
90870
GA
2084N0400X
Neurology Physician
Primary
30145
SC
2084N0400X
Neurology Physician
90870
GA
2084N0400X
Neurology Physician
LL30145
SC

Other

Enumeration date
07/02/2007
Last updated
10/12/2023
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