Organization
ROBERT LEE DC PC
Active
Other names
Robert Lee DC PC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT W LEE DC (PRESIDENT)
(706) 698-9679
Entity
Organization
Contact information
Practice address
9 RUSSELL DR, SUITE201, ELLIJAY, GA 30540-5573
(706) 698-9679
(706) 698-9678
Mailing address
9 RUSSELL DR, SUITE 201, ELLIJAY, GA 30540-5573
(706) 698-9679
(706) 698-9678
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR005113
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202G700756
MEDICARE PTAN
GA
Enumeration date
08/17/2009
Last updated
06/06/2012
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