Individual
LEIGH ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 PARK AVE, SALEM, SC 29676-3304
(864) 903-5030
(864) 903-5030
Mailing address
PO BOX 101, SALEM, SC 29676-0101
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2000020277
NC
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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