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Organization

CHARLES LEE M.D.

Active
Other names
Whitesburg Podiatry
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNIE FRANKLIN (OFFICE MANAGER)
(256) 880-0222
Entity
Organization

Contact information

Practice address
115 QUEENSBURY DR SW, HUNTSVILLE, AL 35802-1501
(256) 880-0222
Mailing address
1212 DEBORAH DR SE, HUNTSVILLE, AL 35801-1413
(256) 990-7867

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
14864
AL
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
14864
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51019925
BLUE CROSS OF ALABAMA
AL
01
51024029
BCBS HH LOCATIONS
AL
01
51523698
BCBS MADISON SURGICAL CENTER
AL
Enumeration date
11/24/2008
Last updated
12/02/2008
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