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Individual

JASON LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(770) 732-3789
(470) 732-7291
Mailing address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(770) 732-3789
(470) 732-7291

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
92749
GA
390200000X
Student in an Organized Health Care Education/Training Program
35.138341
OH

Other

Enumeration date
04/23/2018
Last updated
08/17/2022
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