Individual
DR. JAMES EARL LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
611 CHURCH ST, CONWAY, SC 29526-4823
(843) 248-4115
(843) 248-6145
Mailing address
611 CHURCH ST, CONWAY, SC 29526-4823
(843) 248-4115
(843) 248-6145
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1643
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
881-716
UNITED CONCORDIA PROV.
NC
05
—
8995201
—
NC
05
—
Z16439
—
SC
Enumeration date
07/17/2006
Last updated
07/09/2007
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