Individual
SPENCER MICHAEL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
460 NORTHSIDE CHEROKEE BLVD, STE 130, CANTON, GA 30115
(678) 493-2527
(678) 493-5608
Mailing address
460 NORTHSIDE CHEROKEE BLVD, STE 130, CANTON, GA 30115
(678) 493-2527
(678) 493-5608
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
000000
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2010
Last updated
02/15/2017
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