Individual
DR. LEE A COLYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 MED TECH PKWY, SUITE 150, JOHNSON CITY, TN 37604
(423) 282-8070
(423) 282-8550
Mailing address
PO BOX 3889, JOHNSON CITY, TN 37602-3889
(423) 282-8070
(423) 282-8550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000028048
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511705
—
TN
01
—
3122080
BLUE CROSS BLUE SHIELD
TN
01
—
5547654
AETNA
TN
Enumeration date
11/16/2005
Last updated
02/01/2024
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