Individual
RUSTY J LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1028 LEE ANN DR NE STE 200, CONCORD, NC 28025
(704) 782-1892
Mailing address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2010-01026
NC
390200000X
Student in an Organized Health Care Education/Training Program
0116019403
VA
Other
Enumeration date
06/17/2008
Last updated
08/29/2018
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