Individual
DAVID S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3273
(678) 312-3282
Mailing address
PO BOX 1170, LAWRENCEVILLE, GA 30046-1170
(470) 325-0159
(470) 325-0191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
054918
GA
208M00000X
Hospitalist Physician
Primary
054918
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
644410281A
—
GA
01
—
855410-09859
BCBS
GA
01
—
P00262297
RAILROAD MEDICARE
GA
Enumeration date
01/28/2006
Last updated
11/15/2018
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