Individual
DIONA LEAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMF
Contact information
Practice address
1530 HIGHMARKET ST, GEORGETOWN, SC 29440-3121
(843) 359-2533
Mailing address
1768 CALHOUN DR, GEORGETOWN, SC 29440-6522
(843) 359-2533
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
C54115
SC
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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