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General NPI Number Information
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NPI Number | 1881890820
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Entity Type | Individual
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Provider Name | GREGORY H. LEE MD
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Gender | Male
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 03/05/2021
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Provider Practice Location Address
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Address Line | 1035 SOUTHCREST DR SUITE 100
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-6118
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Country | US
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Telephone | 770-389-9005
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Fax | 770-389-5251
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Provider Business Mailing Address
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Address Line | 7813 SPIVEY STATION BLVD STE 220
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City | JONESBORO
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State | GA
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Zip | 30236-2900
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Country | US
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Telephone | 404-251-2327
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Fax | 404-251-2316
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 61599
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 61599
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License Number State | GA
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