Individual
ANGELA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1035 SCALES RD APT 5206, SUWANEE, GA 30024-4591
(864) 378-6745
Mailing address
PO BOX 1123, ABBEVILLE, SC 29620-1123
(864) 378-6745
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN244580
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN244580
—
GA
Enumeration date
09/01/2021
Last updated
09/01/2021
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