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Organization

LEADS WAY MEDICAL CENTER

Active
Other names
Leads Way Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANTREANA SINGLETON-GRANT (OWNER)
(843) 476-3260
Entity
Organization

Contact information

Practice address
7766 W MAIN STREET, RIDGELAND, SC 29936
(843) 441-9415
(843) 305-6107
Mailing address
186 STATE ROAD S-27-272, RIDGELAND, SC 29936
(843) 476-3260

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
261QM3000X
Medically Fragile Infants and Children Day Care
261QP2300X
Primary Care Clinic/Center
Primary
291U00000X
Clinical Medical Laboratory
363LP2300X
Primary Care Nurse Practitioner

Other

Enumeration date
11/03/2022
Last updated
11/03/2022
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