Individual
TRICIA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 E PONCE DE LEON AVE STE 150, DECATUR, GA 30030-2566
(678) 632-2360
Mailing address
150 E PONCE DE LEON AVE STE 150, DECATUR, GA 30030-2566
(678) 632-2360
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
86083
GA
Other
Enumeration date
03/27/2009
Last updated
10/18/2023
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