Organization
PETER PING LEE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER P LEE MD (DOCTOR)
(706) 882-0552
Entity
Organization
Contact information
Practice address
300 MEDICAL DR, SUITE 701, LAGRANGE, GA 30240-4130
(706) 882-0552
Mailing address
300 MEDICAL DR, SUITE 701, LAGRANGE, GA 30240-4130
(706) 882-0552
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015931
BLUE CROSS BLUE SHIELD
GA
01
—
DC6803
RAILROAD MEDICARE
GA
Enumeration date
11/16/2007
Last updated
11/26/2007
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