Individual
MADYLAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2812 HARTFORD HWY, DOTHAN, AL 36305-4927
(334) 712-1170
Mailing address
2812 HARTFORD HWY, DOTHAN, AL 36305-4927
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-174043
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-174043
AL
Other
Enumeration date
12/02/2021
Last updated
02/16/2026
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