Individual
JASON EVAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 DOCTORS DR STE G, KINSTON, NC 28501-1584
(252) 522-4446
(252) 522-4484
Mailing address
5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 27560-5490
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2017-01065
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376981407
—
NC
01
—
19QYC
BCBS OF NC
NC
01
—
NCY802A
MEDICARE
NC
Enumeration date
06/11/2013
Last updated
12/18/2024
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