Individual
KUO L LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
842 PROFESSIONAL CENTER DR, EASTMAN, GA 31023-6734
(478) 374-4305
(478) 374-1366
Mailing address
842 PROFESSIONAL CENTER DR, EASTMAN, GA 31023-6734
(478) 374-4305
(478) 374-1366
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
014704
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00184214A
—
GA
Enumeration date
07/20/2005
Last updated
05/20/2010
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