Individual
GERRON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5703
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5703
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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