| NPI | 1962119487 |
|---|---|
| Doing Business As | LEADS WAY MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ANTREANA SINGLETON-GRANT Owner 843-476-3260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care | |
| 291U00000X Clinical Medical Laboratory | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2022-11-03 |