Lee, Charles

Lee, Charles is an individual health care provider with primary practice located at 677 Church St Ne , Marietta GA 30060-1101. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Lee, Charles can be contacted via phone (770) 794-0477.

Contact Information

Primary practice address
677 Church St Ne Marietta GA 30060-1101
Phone: (770) 794-0477
Fax: (770) 794-3108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 037595 Georgia
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 037595 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 037595 Georgia
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 037595 Georgia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 037595 Georgia

Profile Details

NPI number 1578601829
LBN Legal business name Lee, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Aug 28th, 2019 - about 5 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 1578601829 NPPES
Georgia MEDICAID 000582964M

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