Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 36873 | SC |
NPI | 1023062288 |
---|---|
Provider Name | Alan Brett Leahey |
First Address | Greenville, SC 29615-4536 |
Second Address | Greenville, SC 29605-4413 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2006 |
Last Update Date | 14/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
368738 | (05) | SC |
E94080 | (02) |