Individual
DR. JENNIFER SHAKER LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
226 ALBERMARLE PL, MACON, GA 31204-1308
(478) 731-6279
Mailing address
226 ALBERMARLE PL, MACON, GA 31204-1308
(478) 731-6279
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101240410
VA
207R00000X
Internal Medicine Physician
Primary
047792
GA
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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