Provider Demographics
NPI:1104106368
Name:LIM, LEONARD CHEUNG (MD)
Entity type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:CHEUNG
Last Name:LIM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:101 TARA COMMONS DR
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-8018
Mailing Address - Country:US
Mailing Address - Phone:678-928-9700
Mailing Address - Fax:
Practice Address - Street 1:105 VINECREST CT # 1000
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-8031
Practice Address - Country:US
Practice Address - Phone:864-725-3350
Practice Address - Fax:864-725-3351
Is Sole Proprietor?:No
Enumeration Date:2011-08-19
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC61264207RP1001X
GA71141207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease