Lee, Carlo C

Lee, Carlo C is an sole proprietor health care provider with primary practice located at 1570 Watson Blvd Suite 100, Warner Robins GA 31093-3432. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Lee, Carlo C can be contacted via phone (478) 923-6462.

Contact Information

Primary practice address
1570 Watson Blvd Suite 100 Warner Robins GA 31093-3432
Phone: (478) 923-6462
Fax: (478) 923-6215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 041455 Georgia

Profile Details

NPI number 1083619779
LBN Legal business name Lee, Carlo C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2005
Last updated Aug 8th, 2011 - about 14 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 1083619779 NPPES
Georgia MEDICAID 000725029J
Georgia MEDICAID 000725029E
Georgia MEDICAID 000725029I

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