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NPI Code Detail

MEDICARE: CINDY F LEE NP

MEDICARE:   CINDY F LEE  NP
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
1363L00000XNurse PractitionerRN039505GA

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 : 1578634382
Entity Type Code : Individual
Provider Name (Legal Business Name) : CINDY F LEE NP
Provider Business Mailing Address
First Line : 24 WILLOW GLEN DR
Second Line :
City : BLAKELY
State : GA
Zip : 39823-3700
Country : US
Telephone Number : 229-723-6274
Fax Number :
Provider Business Practice Location Address
First Line : 103 RE JENNINGS AVE SE
Second Line :
City : ARLINGTON
State : GA
Zip : 39813-8725
Country : US
Telephone Number : 229-725-4251
Fax Number : 229-725-2212
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2006
Last Update Date : 09/06/2011

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Directions to “ CINDY F LEE NP” Practice Location

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