Organization
BUCKHEAD BREAST CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J. LEE MD (MANAGER)
(404) 695-0772
Entity
Organization
Contact information
Practice address
35 COLLIER RD NW, SUITE 185, ATLANTA, GA 30309-1613
(404) 603-8100
Mailing address
1015 NOTTINGHAM LN NE, BROOKHAVEN, GA 30319-6002
(404) 695-0772
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
044956
GA
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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