Individual
DR. LEE JOHN SKANDALAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3193 HOWELL MILL RD NW STE 125, ATLANTA, GA 30327-2100
(770) 696-3586
(877) 795-8175
Mailing address
3193 HOWELL MILL RD NW STE 125, ATLANTA, GA 30327-2100
(770) 696-3586
(877) 795-8175
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
027443
GA
208600000X
Surgery Physician
27443
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00307117B
—
GA
Enumeration date
06/07/2006
Last updated
12/13/2018
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