Leroy, Albert G

Leroy, Albert G is an individual health care provider with primary practice located at 1780 Medical Park Dr , Rock Hill SC 29732-1194. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Leroy, Albert G can be contacted via phone (803) 327-1116.

Contact Information

Primary practice address
1780 Medical Park Dr Rock Hill SC 29732-1194
Phone: (803) 327-1116
Fax: (803) 327-6872
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 6625 South Carolina
Allopathic & Osteopathic Physicians / Urology 208800000X 30198 North Carolina

Profile Details

NPI number 1912970484
LBN Legal business name Leroy, Albert G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Mar 31st, 2015 - about 11 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 1912970484 NPPES
South Carolina MEDICAID 066252
South Carolina Other 279869
South Carolina Other 760688
South Carolina Other 0411169
South Carolina Other 26995
South Carolina MEDICAID 89136H1
South Carolina Other 136H1
South Carolina Other 1905788

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