LEAH FENNELL BARAHONA

CHARLESTON, SC
NPI1689855298
Former NameLEAH ANNE FENNELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: NC  2013-00299)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: FL  me92381)
Enumeration Date2007-11-26
Last Update Date2016-12-29
Business Address
-- LEAH FENNELL BARAHONA MD
109 BEE ST
CHARLESTON, SC 29401-5703
Phone number: 843-577-5011
Mailing Address
-- LEAH FENNELL BARAHONA MD
109 BEE ST
CHARLESTON, SC 29401-5703
Phone number: 843-577-5011