Individual
SEAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3671
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 724-6100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
070312
GA
208600000X
Surgery Physician
2012-00630
NC
390200000X
Student in an Organized Health Care Education/Training Program
127896
NC
Other
Enumeration date
05/08/2008
Last updated
03/19/2014
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