Individual
JOHNATHAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 12TH ST, 3RD FLOOR, MERIDIAN, MS 39301-4158
(601) 703-9970
Mailing address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9970
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23209
MS
Other
Enumeration date
03/20/2009
Last updated
03/30/2015
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