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Individual

LOUIS LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2801 DEKALB MEDICAL PKWY, LITHONIA, GA 30058-4996
(404) 501-8492
(404) 501-8645
Mailing address
PO BOX 403631, ATLANTA, GA 30384-3631
(770) 740-0895
(770) 740-0896

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38840
GA
208M00000X
Hospitalist Physician
038840
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000675001I
GA
01
P00392996
RR MCARE
GA
Enumeration date
10/10/2006
Last updated
06/18/2008
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