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1508835737
LEONARD WALTER DOUGLAS
N CHARLESTON, SC
NPI
1508835737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 11395)
Enumeration Date
2006-03-17
Last Update Date
2013-03-20
Business Address
Dr. LEONARD WALTER DOUGLAS M.D.
9237 UNIVERSITY BLVD
N CHARLESTON, SC 29406-9189
Phone number: 843-577-5011
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Mailing Address
Dr. LEONARD WALTER DOUGLAS M.D.
9237 UNIVERSITY BLVD
N CHARLESTON, SC 29406-9189
Phone number: 843-577-5011
Copy
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