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NPI Code Detail

MEDICARE: LEE OBSTETRICS & GYNECOLOGY, PC

MEDICARE: LEE OBSTETRICS & GYNECOLOGY, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM2500XMedical Specialty Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033170238
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEE OBSTETRICS & GYNECOLOGY, PC
Provider Business Mailing Address
First Line : 2375 CHAMPIONS BLVD
Second Line :
City : AUBURN
State : AL
Zip : 36830-6471
Country : US
Telephone Number : 334-745-6447
Fax Number : 334-742-0713
Provider Business Practice Location Address
First Line : 2375 CHAMPIONS BLVD
Second Line :
City : AUBURN
State : AL
Zip : 36830-6471
Country : US
Telephone Number : 334-745-6447
Fax Number : 334-742-0713
Authorized Official
Title or Position : MANAGING PARTNER
Name : DR. JONATHAN MAHRAM
Credential : M.D.
Telephone Number : 334-745-6447
Provider Enumeration Date : 03/29/2006
Last Update Date : 11/04/2024

Similar Medicare Providers

1518959444 — MRS. KIMBERLY COKER BRUNSTING NP
Practice Location Address:
2375 CHAMPIONS BLVD , 3RD FLOOR
AUBURN, AL
36830-6471
Practice Phone: 334-528-5959
Practice Fax: 334-528-5899
1598705147 — DR. WILLIAM L. GOLDEN M.D.
Practice Location Address:
2375 CHAMPIONS BLVD
AUBURN, AL
36830-6471
Practice Phone: 334-745-6447
Practice Fax: 334-742-0713
1881634475 — DR. KENNETH L. HARRIS M.D.
Practice Location Address:
2375 CHAMPIONS BLVD
AUBURN, AL
36830-6471
Practice Phone: 334-745-6447
Practice Fax: 334-742-0713
1851331490 — DR. ROBERT KRAIG SMITH M.D.
Practice Location Address:
2375 CHAMPIONS BLVD
AUBURN, AL
36830-6471
Practice Phone: 334-745-6447
Practice Fax: 334-742-0713
1033150693 — DR. STEPHEN E. LITSEY M.D.
Practice Location Address:
2375 CHAMPIONS BLVD
AUBURN, AL
36830-6471
Practice Phone: 334-745-6447
Practice Fax:
1790716165 — DR. WILLIAM ROSS DAVIS MD
Practice Location Address:
2375 CHAMPIONS BLVD
AUBURN, AL
36830-6471
Practice Phone: 334-321-3809
Practice Fax: 334-321-3798

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