Individual
ISAIAH LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 SHERIDAN DR NE APT 20, ATLANTA, GA 30305-3180
(704) 441-0783
Mailing address
45 SHERIDAN DR NE APT 20, ATLANTA, GA 30305-3180
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT015003
GA
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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