Leatherman, Joyce L

Leatherman, Joyce L is an individual health care provider with primary practice located at 1304 W Bobo Newsom Hwy , Hartsville SC 29550-4710. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Leatherman, Joyce L can be contacted via phone (843) 339-2100.

Contact Information

Primary practice address
1304 W Bobo Newsom Hwy Hartsville SC 29550-4710
Phone: (843) 339-2100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R37563 South Carolina

Profile Details

NPI number 1023059474
LBN Legal business name Leatherman, Joyce L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Mar 27th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023059474 NPPES
South Carolina MEDICAID AN0661

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