Organization
PERRY K LEE OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN STOWERS LEE O.D. (OPTOMETRIST)
(706) 453-4535
Entity
Organization
Contact information
Practice address
1051 A PARK DR., GREENSBORO, GA 30642-3465
(706) 453-4535
(706) 453-4539
Mailing address
1051 A PARK DR., GREENSBORO, GA 30642-3465
(706) 453-4535
(706) 453-4539
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1558
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000672581L
—
GA
01
—
410045041
RAILROAD MEDICARE
GA
Enumeration date
12/14/2006
Last updated
10/07/2008
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