Individual
REBECCA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 867-4000
Mailing address
4500 13TH ST, GULFPORT, MS 39501-2515
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
28934
MS
207V00000X
Obstetrics & Gynecology Physician
35.125574
OH
Other
Enumeration date
04/16/2013
Last updated
12/13/2021
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