Individual
ROBERT LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
76 NEALY BLVD, HAMPTON, VA 23665-2022
(803) 983-7456
Mailing address
222 WEST ASHLEY AVE, PO BOX 770, FOLLY BEACH, SC 29439
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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