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Individual

DR. MARK ANDY LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
95 SEABOARD LN, SUITE 201, BRENTWOOD, TN 37027-3031
(615) 261-1214
(615) 261-1222
Mailing address
95 SEABOARD LN, SUITE 201, BRENTWOOD, TN 37027-3031
(615) 261-1214
(615) 261-1222

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28614
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3897346
TN
Enumeration date
06/30/2006
Last updated
03/09/2015
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