Individual
MR. JASON DONALD LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3650 J DEWEY GRAY CIR, AUGUSTA, GA 30909-1867
(706) 863-9797
(706) 860-7686
Mailing address
PO BOX 14039, AUGUSTA, GA 30919-0039
(706) 863-9797
(706) 860-7686
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT.9934
SC
225100000X
Physical Therapist
Primary
PT007968
GA
2251X0800X
Orthopedic Physical Therapist
PT007968
GA
Other
Enumeration date
10/06/2009
Last updated
10/29/2019
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