Individual
EMILY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4720 WASHINGTON RD, EVANS, GA 30809
(706) 774-7263
(706) 774-7230
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-7263
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9005
GA
Other
Enumeration date
10/05/2018
Last updated
11/28/2018
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