Provider Demographics
NPI:1255388310
Name:POINSETTE, LESLIE HOWARD (MD)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:HOWARD
Last Name:POINSETTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:369 WOODRUFF RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-3415
Mailing Address - Country:US
Mailing Address - Phone:864-242-5872
Mailing Address - Fax:864-242-5640
Practice Address - Street 1:28 MEDICAL RIDGE DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4267
Practice Address - Country:US
Practice Address - Phone:864-271-7440
Practice Address - Fax:864-271-6001
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2018-01-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC22780207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCH54504Medicare UPIN