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
Phone: (229) 985-7177
Fax: (229) 890-5373
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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