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1053572792
TARA KELLY VAN LEUVEN
CHARLESTON, SC
NPI
1053572792
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Former Name
TARA ELIZABETH KELLY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: DC MD040742)
Enumeration Date
2008-06-24
Last Update Date
2020-10-14
Business Address
Dr. TARA KELLY VAN LEUVEN M.D.
171 ASHLEY AVE
CHARLESTON, SC 29425-2113
Phone number: 843-792-1414
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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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