Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 29995 | SC |
N | 208600000X | Surgeon | 29995 | SC |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 29995 | SC |
NPI | 1023218351 |
---|---|
Provider Name | Dr. William Mciver Leppard |
First Address | Brentwood, TN 37027-5098 |
Second Address | Columbia, SC 29204-2047 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2007 |
Last Update Date | 22/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
299956 | (05) | SC |