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Individual

DR. LEROY J. HUFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1301 TAYLOR ST STE 5K, COLUMBIA, SC 29201-2952
(839) 200-7805
(803) 891-7085
Mailing address
7430 COLLEGE ST, IRMO, SC 29063-2903
(839) 200-7810
(803) 891-7085

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8730
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
087300
SC
01
930073233
RAILROAD MEDICARE
SC
Enumeration date
09/14/2005
Last updated
01/18/2022
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