Individual
DR. GENE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
44797
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3042121
MEDICARE
TN
01
—
3709593
MEDICARE GROUP NUMBER
TN
05
—
3709593
—
TN
Enumeration date
12/20/2007
Last updated
07/21/2011
Update your record
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