Organization
H.S. LEE M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
H S LEE M.D. (PHYSICIAN-PRESIDENT OF CORPORATION)
(205) 485-7284
Entity
Organization
Contact information
Practice address
42030 HIGHWAY 195, SUITE B, HALEYVILLE, AL 35565-0599
(205) 485-7284
(205) 485-7392
Mailing address
P O BX 599, HALEYVILLE, AL 35565-0599
(205) 485-7284
(205) 485-7392
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AL7617
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51003590
BLUE CROSS BLUE SHIELD
AL
Enumeration date
11/29/2006
Last updated
12/06/2007
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