Organization
BLPODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN LEE (PRESIDENT / PODIATRIST)
(770) 765-1237
Entity
Organization
Contact information
Practice address
1325 SATELLITE BLVD NW STE 701A, SUWANEE, GA 30024-4676
(302) 753-8294
Mailing address
4191 BAVERTON DR, SUWANEE, GA 30024-8725
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
01/02/2025
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