Individual
NICOLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5505 PEACHTREE DUNWOODY RD STE 600, ATLANTA, GA 30342-1717
(404) 355-0743
Mailing address
5505 PEACHTREE DUNWOODY RD STE 600, ATLANTA, GA 30342-1717
(404) 355-0743
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12199
GA
Other
Enumeration date
10/04/2022
Last updated
08/05/2024
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