Individual
DR. MARCUS WILLIAM LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 NW ATLANTIC ST, TULLAHOMA, TN 37388-3562
(931) 455-2273
(931) 563-7659
Mailing address
PO BOX 1900, TULLAHOMA, TN 37388-1900
(931) 455-2273
(931) 563-7659
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000035884
TN
207R00000X
Internal Medicine Physician
35884
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38748801
—
TN
01
—
4176317
BLUE CROSS
TN
Enumeration date
08/14/2006
Last updated
10/01/2024
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