Individual
TONI LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8375 CEDAR GROVE RD, FAIRBURN, GA 30213-2336
(404) 375-0245
Mailing address
1426 DODSON DR SW, ATLANTA, GA 30311-3246
(404) 375-0245
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/13/2019
Last updated
07/13/2019
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