Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QG0300X | Family Doctor - Geriatric Medicine | 26046 | SC |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 26046 | SC |
NPI | 1518090901 |
---|---|
Provider Name | Andres Felix Leone |
First Address | Atlanta, GA 30374-3904 |
Second Address | Columbia, SC 29203-6854 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 14/06/2019 |