Individual
ANTHONY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1416 LINCOLN CREST DR, AUSTELL, GA 30106-8238
(470) 663-3450
Mailing address
1416 LINCOLN CREST DR, AUSTELL, GA 30106-8238
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
11D2259456
GA
Other
Enumeration date
06/03/2022
Last updated
06/10/2022
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