Individual
DR. MARK THOMAS LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH.
Contact information
Practice address
3107 HIGHLAND ST, MILAN, TN 38358-3113
(731) 686-7467
Mailing address
52 MOSS BRANCH CV, JACKSON, TN 38305-7580
(731) 668-2295
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9430
TN
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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