Individual
LOUIS G LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
112 MIMOSA DR, THOMASVILLE, GA 31792-6605
(229) 227-0045
(229) 227-9120
Mailing address
7524 SUMMERHILL RD, BOSTON, GA 31626-2754
(229) 227-0045
(229) 227-9120
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
021540
GA
207RG0100X
Gastroenterology Physician
Primary
021540
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000205994D
—
GA
Enumeration date
06/20/2005
Last updated
08/03/2020
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