Individual
DR. PETER PING LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 MEDICAL DR, SUITE 701, LAGRANGE, GA 30240-4130
(706) 882-0552
(706) 882-0599
Mailing address
300 MEDICAL DR, SUITE 701, LAGRANGE, GA 30240-4130
(706) 882-0552
(706) 882-0599
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
051157
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000947405C
—
GA
01
—
015931
BLUE CROSS BLUE SHIELD
GA
01
—
DC6803
RAILROAD MEDICARE
GA
Enumeration date
08/18/2005
Last updated
03/26/2020
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