Individual
CHRISTOPHER LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5160
(601) 815-6985
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5160
(601) 815-6985
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
20999
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01266927
RAILROAD MEDICARE
MS
Enumeration date
04/03/2007
Last updated
03/17/2014
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