TARA KELLY VAN LEUVEN

CHARLESTON, SC
NPI1053572792
Former NameTARA ELIZABETH KELLY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: DC  MD040742)
Enumeration Date2008-06-24
Last Update Date2020-10-14
Business Address
Dr. TARA KELLY VAN LEUVEN M.D.
171 ASHLEY AVE
CHARLESTON, SC 29425-2113
Phone number: 843-792-1414
Mailing Address
Dr. TARA KELLY VAN LEUVEN M.D.
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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