Individual
MARY CATHERINE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 COLLEGE DR, HATTIESBURG, MS 39406-0002
(601) 266-6508
Mailing address
126 LAKE VILLAGE DR, MADISON, MS 39110-6520
(601) 953-7735
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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