MEDICARE: ROBERT HAMMILL LEE MD

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
1	207Q00000X	Family Medicine Physician	33541	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	2342928	OTHER	NC	MEDICARE GRUOP
8	2335809	OTHER	NC	MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51524	OTHER	NC	BCBS
2	0238G	OTHER	NC	BCBS GROUP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	0238G	OTHER	NC	BLUE CROSS GROUP
7	51524	OTHER	NC	BCBS IND
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770529323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT HAMMILL LEE MD

Provider Business Mailing Address
First Line	:	2874 NC HWY 127 SOUTH
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-9130
Country	:	US
Telephone Number	:	828-294-4100
Fax Number	:	828-294-4112

Provider Business Practice Location Address
First Line	:	2874 NC HWY 127 SOUTH
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-9130
Country	:	US
Telephone Number	:	828-294-4100
Fax Number	:	828-294-4112

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	11/03/2011

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