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Individual

JOHN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
222 S HERLONG AVE, ROCK HILL, SC 29732-1158
(803) 329-6849
Mailing address
PO BOX 70883, DEPT 777, CHARLOTTE, NC 28272-0883
(757) 221-7111
(757) 221-8085

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18471
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
N25156
SC
Enumeration date
10/23/2006
Last updated
07/08/2007
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