Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 31673 | SC |
N | 111NI0900X | Internist | 31673 | SC |
Y | 207RI0011X | Interventional Cardiology | 31673 | SC |
NPI | 1013182898 |
---|---|
Provider Name | Dr. Robert Anthony Leonardi |
First Address | West Columbia, SC 29171-6069 |
Second Address | West Columbia, SC 29169-4815 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2008 |
Last Update Date | 09/11/2020 |