Organization
XYZ MEDICAL
Active
Organization
XYZ MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W LEE DC (OWNER)
(706) 698-9679
Entity
Organization
Contact information
Practice address
9 RUSSELL DR STE 201, ELLIJAY, GA 30540-5573
(706) 698-9679
(706) 698-9678
Mailing address
9 RUSSELL DR STE 201, ELLIJAY, GA 30540-5573
(706) 698-9679
(706) 698-9678
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
26097
GA
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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