Individual
LEE DORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1230 BAXTER ST, ATHENS, GA 30606-3712
(706) 543-3449
(706) 543-5744
Mailing address
1230 BAXTER ST, ATHENS, GA 30606-3712
(706) 389-2100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN149317
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
464983097A
—
GA
Enumeration date
06/09/2006
Last updated
10/09/2025
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