Individual
CARL EDWARD LEE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
522 W PARK AVE STE Q, GREENWOOD, MS 38930-2950
(662) 374-5029
(662) 374-5032
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
(769) 251-5550
(769) 251-5590
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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