Lee, Barry Russell
Lee, Barry Russell is an individual health care provider with primary practice located at 631 Cox Rd , Gastonia NC 28054-3438. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Lee, Barry Russell can be contacted via phone (704) 864-7764.Contact Information
Primary practice address
631 Cox Rd
Gastonia NC 28054-3438
Phone: (704) 864-7764
Fax: (704) 867-7894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 36758 | North Carolina |
Profile Details
| NPI number | 1023060068 |
|---|---|
| LBN Legal business name | Lee, Barry Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | May 27th, 2021 - about 3 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 | 1023060068 | NPPES |
| North Carolina | MEDICAID | 8951408 |
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