Whalio Doctors

NPI 1346492428

Jermaine Leclerc

Practitioner Anesthesiologist Assistant Greenville, SC

Practice location

Address
7 Independence PT STE 300, Greenville, SC 29615-4569
Phone
(864) 522-3700
Fax
(864) 522-3705
Mailing address
300 E McBee Ave Fl 4, Greenville, SC 29601-2842

Registered specialties (3)

Anesthesiologist Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 96 (SC)
Specialist
Other Service Providers Taxonomy 174400000X Licence AA000016 (DC)
Anesthesiologist Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence AA121 (FL)

Registry record

NPI
1346492428
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Oct 2008
Record last updated
27 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.