Individual provider · Type 1 NPI
Diona Leak, CMF
Mastectomy Fitter · Georgetown, SC
NPI number
1912864224
Active
Practice location
1530 Highmarket St
Georgetown, SC 29440-3121
Mailing address
1768 Calhoun Dr
Georgetown, SC 29440-6522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mastectomy Fitter Primary | 224900000X | C54115 (SC) |
Mastectomy Fitter: An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
3 other providers at this address
About NPI 1912864224
Diona Leak, CMF's National Provider Identifier is 1912864224, issued on Jan 7, 2026. The primary taxonomy on file is Mastectomy Fitter (224900000X), and the practice location is in Georgetown, SC. The record was last updated on Jan 7, 2026.