Lee, Jacob

Lee, Jacob is an individual health care provider with primary practice located at 1260 Highway 54 Ste 200 , Fayetteville GA 30214-4513. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Lee, Jacob can be contacted via phone (770) 461-2101.

Contact Information

Primary practice address
1260 Highway 54 Ste 200 Fayetteville GA 30214-4513
Phone: (770) 461-2101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 94785 Georgia
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN122602 Georgia

Profile Details

NPI number 1912438805
LBN Legal business name Lee, Jacob
Credentials DMD, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2017
Last updated Aug 9th, 2023 - about last year

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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