MEDICARE: LEEWOOD MEDICAL PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1023416674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEEWOOD MEDICAL PC

Provider Business Mailing Address
First Line	:	5507 ABERCORN ST
Second Line	:	STE 103 BOX 104
City	:	SAVANNAH
State	:	GA
Zip	:	31405-6915
Country	:	US
Telephone Number	:	912-232-9700
Fax Number	:	912-748-0270

Provider Business Practice Location Address
First Line	:	5356 REYNOLDS ST
Second Line	:	STE 201
City	:	SAVANNAH
State	:	GA
Zip	:	31405-6016
Country	:	US
Telephone Number	:	912-232-9700
Fax Number	:	912-748-0270

Authorized Official
Title or Position	:	OWNER
Name	:	CHARLES T LEEWOOD
Credential	:	DO
Telephone Number	:	912-232-9700

Provider Enumeration Date	:	12/15/2014
Last Update Date	:	06/16/2026

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Directions to “LEEWOOD MEDICAL PC ” Practice Location

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