Healthcare Provider Details

I. General information

NPI: 1922959881
Provider Name (Legal Business Name): PAULA M LEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9106 SADDLEBROOK WAY
DOUGLASVILLE GA
30135-1230
US

IV. Provider business mailing address

9106 SADDLEBROOK WAY
DOUGLASVILLE GA
30135-1230
US

V. Phone/Fax

Practice location:
  • Phone: 404-316-6817
  • Fax:
Mailing address:
  • Phone: 404-316-6817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License NumberNONE
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License NumberCRT6022
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code246Y00000X
TaxonomyHealth Information Specialist/Technologist
License NumberNONE
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License NumberCERTIFIED
License Number StateGA
# 5
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License NumberTGM5975
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: