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General NPI Number Information
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NPI Number | 1427335629
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Entity Type | Organization
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Legal Business Name | STEVEN R. LEE, M. D., P. C.
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Dates
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Enumeration Date | 11/16/2011
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Last Update Date | 11/16/2011
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Provider Practice Location Address
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Address Line | 2150 PEACHFORD RD SUITE F
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City | ATLANTA
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State | GA
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Zip | 30338-6520
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Country | US
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Telephone | 770-452-0270
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Fax | 770-457-8517
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Provider Business Mailing Address
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Address Line | 2150 PEACHFORD RD SUITE F
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City | ATLANTA
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State | GA
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Zip | 30338-6520
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Country | US
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Telephone | 770-452-0270
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Fax | 770-457-8517
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Authorized Official
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Title or Position | PRESIDENT OF CORPORATION
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Name | STEVEN R LEE
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Credential | M. D.
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Telephone | 770-452-0270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 023378
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License Number State | GA
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