Individual
PHILIP S. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
78 HOSPITAL RD, MACON, MS 39341-2490
(662) 726-4264
Mailing address
PO BOX 480, MACON, MS 39341-0480
(662) 726-4264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MS21787
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00632581
—
MS
Enumeration date
08/10/2006
Last updated
02/24/2015
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