Individual
ELLIE ROSE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
615 RIDGE RD, ROXBORO, NC 27573-4629
(919) 620-4467
Mailing address
615 RIDGE RD, PERSON MEMORIAL HOSP-RADIOLOGY, ROXBORO, NC 27573-4629
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2001-00725
NC
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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