Provider Demographics
NPI:1447205679
Name:HOWARD, LEON K (MD, FACC)
Entity Type:Individual
Prefix:DR
First Name:LEON
Middle Name:K
Last Name:HOWARD
Suffix:
Gender:M
Credentials:MD, FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9231 MEDICAL PLAZA DR STE A
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9101
Mailing Address - Country:US
Mailing Address - Phone:843-797-7700
Mailing Address - Fax:843-797-1271
Practice Address - Street 1:9231 MEDICAL PLAZA DR STE A
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9101
Practice Address - Country:US
Practice Address - Phone:843-797-7700
Practice Address - Fax:843-797-1271
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6094207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC6094OtherLICENSE #
SCPA4833Medicaid
SCPA4833Medicaid
SC2234Medicare ID - Type UnspecifiedGROUP #
SCPA4833Medicaid