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Organization

MEDRAD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KUO LAM LEE MD (OWNER)
(478) 738-0099
Entity
Organization

Contact information

Practice address
1818 FORSYTH ST, MACON, GA 31201
(478) 738-0099
(478) 750-8211
Mailing address
1818 FORSYTH ST, MACON, GA 31201
(478) 738-0099
(478) 750-8211

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
11/21/2018
Last updated
06/19/2019
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