Individual
MR. ANTHONY W LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2392 EDGEWOOD AVE N, JACKSONVILLE, FL 32254-1725
(904) 845-4008
(904) 845-4018
Mailing address
145 FIFTH ST, FOLKSTON, GA 31537-4635
(904) 845-4008
(904) 845-4018
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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