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NPI Code Detail

MEDICARE: DR. GEORGE LEIGHTON LEE III M.D., FACS

MEDICARE: DR. GEORGE LEIGHTON LEE III M.D., FACS
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
1208800000XUrology Physician46918KY
2208800000XUrology Physician0101267273VA
3208800000XUrology Physician53187-020WI
4208800000XUrology Physician2021-02891NC

General Provider Information

NPI Number : 1194923474
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE LEIGHTON LEE III M.D., FACS
Provider Business Mailing Address
First Line : 1016 S SOUTH ST
Second Line :
City : MOUNT AIRY
State : NC
Zip : 27030-5330
Country : US
Telephone Number : 336-786-5144
Fax Number : 336-786-3752
Provider Business Practice Location Address
First Line : 1016 S SOUTH ST
Second Line :
City : MOUNT AIRY
State : NC
Zip : 27030-5330
Country : US
Telephone Number : 336-786-5144
Fax Number : 336-786-3752
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2007
Last Update Date : 02/27/2026

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Directions to “ DR. GEORGE LEIGHTON LEE III M.D., FACS” Practice Location

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