| Hugh M Leavens M.d. | |
|
103 Waterloo St Sw Aiken SC 29801-3756 | |
| (803) 649-9200 | |
| (803) 649-9005 |
| Full Name | Hugh M Leavens M.d. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 103 Waterloo St Sw, Aiken, South Carolina |
| Authorized Official Name and Position | Hugh M Leavens (OWNER) |
| Authorized Official Contact | 8036499200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hugh M Leavens M.d. 103 Waterloo St Sw Aiken SC 29801-3756 Ph: (803) 649-9200 | Hugh M Leavens M.d. 103 Waterloo St Sw Aiken SC 29801-3756 Ph: (803) 649-9200 |
| NPI Number | 1649209289 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 09/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649209289 | NPI | - | NPPES |
| GP1104 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 17742 (South Carolina) | Primary |
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