Individual
MATTHEW LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-0211
Mailing address
DEPT OF NEUROSURGERY 1120 15TH ST BI-3088, AUGUSTA, GA 30912-0001
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
12971
GA
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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