Individual
NATHANIEL J LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1319 SUNSET DR, SUITE 201, JOHNSON CITY, TN 37604-3799
(423) 926-6266
(423) 926-7599
Mailing address
PO BOX 5576, JOHNSON CITY, TN 37602-5576
(423) 926-6266
(423) 926-7599
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD40547
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407960222
—
VA
05
—
3336281
—
TN
05
—
64118656
—
KY
01
—
P00274067
RR MEDICARE
—
Enumeration date
08/18/2006
Last updated
03/18/2011
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