Organization
MARION O. LEE,JR. M.D., P.C.
Active
Other names
Marion O. Lee Jr. M.D. PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NAKIA MCCOGGLE (CREDENTIALING SPECIALIST)
(229) 238-0298
Entity
Organization
Contact information
Practice address
910 N 5TH ST, SUITE D, CORDELE, GA 31015-3254
(229) 391-2910
(229) 386-4770
Mailing address
2773 MARSHALL DR, TIFTON, GA 31793-8101
(229) 238-0121
(229) 238-0124
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
37596
GA
Other
Enumeration date
12/04/2009
Last updated
07/09/2013
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