June, Patricia Lee

June, Patricia Lee is an sole proprietor health care provider with primary practice located at 1317 S Main St , Moultrie GA 31768-5809. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. June, Patricia Lee can be contacted via phone (229) 985-7177.

Contact Information

Primary practice address
1317 S Main St Moultrie GA 31768-5809
Fax: (229) 890-5373
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 17838 Georgia

Profile Details

NPI number 1730268459
LBN Legal business name June, Patricia Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2006
Last updated May 16th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730268459 NPPES
Georgia Other 117463 PSHP
Georgia MEDICAID 000292025A PSHP
Georgia Other 1730268459 PSHP
Georgia Other N355136 PSHP

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