Individual
ALBERT ILSUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1497 FAIR RD, SUITE 206, STATESBORO, GA 30458-0822
(912) 871-5951
(912) 871-2483
Mailing address
1499 FAIR RD, STATESBORO, GA 30458-1683
(912) 486-1482
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
041454
GA
Other
Enumeration date
03/23/2006
Last updated
06/25/2016
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