Individual
MS. SHIRLEY-ANN RENEE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1915 K M WICKER MEMORIAL DR, SANFORD, NC 27330-5070
(919) 708-5031
(919) 718-0097
Mailing address
1915 K M WICKER MEMORIAL DR, SANFORD, NC 27330-5070
(919) 708-5031
(919) 718-0097
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070602002
BOC
—
Enumeration date
02/19/2016
Last updated
12/22/2023
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