Most Relevant Information
Provider Data
| NPI Number: | 1003459256 |
| Provider Name: | REBECCA DAWN LEICHT FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | APN.23351 |
Most Important Dates
| Enumeration Date: | 10/21/2019 |
| Last Updated: | 11/12/2019 |
Provider Practice Location
1809 WADE HAMPTON BLVD STE 120
GREENVILLE
SC
296094050
Practice Location Phone/Fax
| Phone: | 8645225000 |
| Fax: | 8642419275 |
Provider Mailing Location
1 INDEPENDENCE PT STE 212
GREENVILLE
SC
296154536
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |