Individual
CARLO C LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1570 WATSON BLVD, SUITE 100, WARNER ROBINS, GA 31093-3432
(478) 923-6462
(478) 923-6215
Mailing address
PO BOX 2426, WARNER ROBINS, GA 31099-2426
(478) 923-6462
(478) 923-6215
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
041455
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000725029E
—
GA
05
—
000725029I
—
GA
05
—
000725029J
—
GA
Enumeration date
06/17/2005
Last updated
08/08/2011
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