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NPI Code Detail

MEDICARE: DR. DAVID G LEE D.C.

MEDICARE:  DR. DAVID G LEE  D.C.
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
1111N00000XChiropractor2214GA
2111N00000XChiropractor4673FL

General Provider Information

NPI Number : 1194159269
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID G LEE D.C.
Provider Business Mailing Address
First Line : 4463 TOWNE LAKE PKWY STE 300
Second Line :
City : WOODSTOCK
State : GA
Zip : 30189-8230
Country : US
Telephone Number : 770-973-7533
Fax Number :
Provider Business Practice Location Address
First Line : 4463 TOWNE LAKE PKWY STE 300
Second Line :
City : WOODSTOCK
State : GA
Zip : 30189-8230
Country : US
Telephone Number : 770-973-7533
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2013
Last Update Date : 08/26/2013

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Directions to “ DR. DAVID G LEE D.C.” Practice Location

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