Individual
LEIGH TOLLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2250 MALL DR, NORTH CHARLESTON, SC 29406-6563
(843) 876-0444
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
27708
SC
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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