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Individual
DR. LEE EPPERSON
Active
Individual
DR. LEE EPPERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2359
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2359
SC LICENSE NUMBER
SC
01
—
7279211
AETNA - EPDB PIN
SC
05
—
CH2359
—
SC
01
—
P00030172
RR MEDICARE
SC
Enumeration date
02/16/2007
Last updated
02/12/2009
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