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NPI Code Detail

MEDICARE: DR. JESSE THOMAS LEE MD

MEDICARE: DR. JESSE THOMAS LEE MD
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
1207RH0003XHematology & Oncology Physician26681NC

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 : 1811990831
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSE THOMAS LEE MD
Provider Business Mailing Address
First Line : 1850 W ARLINGTON BLVD
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5704
Country : US
Telephone Number : 252-752-6101
Fax Number : 252-752-6600
Provider Business Practice Location Address
First Line : 1850 W ARLINGTON BLVD
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5704
Country : US
Telephone Number : 252-752-6101
Fax Number : 252-752-6600
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 10/09/2014

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Directions to “ DR. JESSE THOMAS LEE MD” Practice Location

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