Individual
BENJAMIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
696 GRAYSON HWY, LAWRENCEVILLE, GA 30046-6372
(770) 963-0927
Mailing address
696 GRAYSON HWY, LAWRENCEVILLE, GA 30046-6372
(770) 963-0927
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7861
GA
Other
Enumeration date
02/12/2016
Last updated
11/03/2020
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