Individual
LEE PENNINGTON MCNICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12460 CRABAPPLE RD., SUITE 202- 313, ALPHARETTA, GA 30004-6646
(770) 727-1167
(404) 819-7660
Mailing address
12460 CRABAPPLE RD.,, SUITE 202-313, ALPHARETTA, GA 30004-6646
(770) 727-1167
(404) 393-7788
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
RN129155
GA
Other
Enumeration date
05/21/2018
Last updated
09/19/2022
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