Provider Demographics
NPI:1780706523
Name:FLESHMAN, RANLEIGH LEWIS
Entity type:Individual
Prefix:
First Name:RANLEIGH
Middle Name:LEWIS
Last Name:FLESHMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2375
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29171-2375
Mailing Address - Country:US
Mailing Address - Phone:803-936-8146
Mailing Address - Fax:803-936-8916
Practice Address - Street 1:2720 SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-4810
Practice Address - Country:US
Practice Address - Phone:803-936-8146
Practice Address - Fax:803-936-8916
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL27987207ZC0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009941960Medicaid
AL009941961Medicaid
AL051540286OtherBLUE CROSS
AL051540288OtherBLUE CROSS
AL009941959Medicaid
AL051540287OtherBLUE CROSS
AL009941961Medicaid