Individual
LEE VOULTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1340 BROAD AVE, SUITE 440, GULFPORT, MS 39501-2404
(228) 867-5087
(228) 867-4870
Mailing address
927 E SCENIC DR, PASS CHRISTIAN, MS 39571-4701
(228) 867-5087
(228) 867-4870
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
15432
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118342
—
MS
Enumeration date
06/20/2006
Last updated
07/18/2022
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