Individual
LEIA EDENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3980 HIGHWAY 9 E STE 240, LITTLE RIVER, SC 29566-8164
(843) 366-3755
(843) 366-3750
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 366-3755
(843) 366-3750
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
86329
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2016
Last updated
07/06/2021
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