Individual
DR. PATRICIA LEE JUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1317 S MAIN ST, MOULTRIE, GA 31768-5809
(229) 985-7177
(229) 890-5373
Mailing address
1317 S MAIN ST, MOULTRIE, GA 31768-5809
(229) 985-7177
(229) 890-5373
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17838
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000292025A
—
GA
01
—
117463
PSHP
GA
01
—
1730268459
BLUE CROSS BLUE SHIELD
GA
01
—
N355136
WELLCARE
GA
Enumeration date
11/03/2006
Last updated
05/16/2008
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