Individual
EDWARD W LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2550 WINDY HILL RD SE, SUITE 218, MARIETTA, GA 30067-8665
(770) 645-9181
(770) 645-8455
Mailing address
3155 NORTH POINT PARKWAY, BUILDING F SUITE 100 ATTN CREDENTIALING DEPT, ALPHARETTA, GA 30005
(770) 645-9181
(770) 645-8455
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
043681
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000757666E
—
GA
05
—
000757666F
—
GA
05
—
000757666G
—
GA
05
—
000757666H
—
GA
05
—
000757666I
—
GA
05
—
000757666J
—
GA
05
—
000757666K
—
GA
05
—
000757666L
—
GA
05
—
000757666M
—
GA
Enumeration date
09/14/2005
Last updated
08/26/2013
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