Individual
DAVID B LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
210 VILLAGE CENTER BLVD, SUITE 200, MYRTLE BEACH, SC 29579-6683
(843) 236-3222
(843) 236-3005
Mailing address
210 VILLAGE CENTER BLVD, SUITE 200, MYRTLE BEACH, SC 29579-6683
(843) 236-3222
(843) 236-3005
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
9990RS
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0347PA
—
SC
Enumeration date
04/22/2006
Last updated
08/28/2009
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