Lee, Theodore Mark

Lee, Theodore Mark is an individual health care provider with primary practice located at 1800 Peachtree St. Nw Suite 720, Atlanta GA 30309-2511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Lee, Theodore Mark can be contacted via phone (404) 351-7520.

Contact Information

Primary practice address
1800 Peachtree St. Nw Suite 720 Atlanta GA 30309-2511
Phone: (404) 351-7520
Fax: (404) 355-2048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 024014 Georgia

Profile Details

NPI number 1689606881
LBN Legal business name Lee, Theodore Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Apr 6th, 2012 - about 12 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 1689606881 NPPES
Other 480827 BCBS
Other 2754388008 BCBS
Other P00162933 BCBS
Other 00278649K BCBS
Other 8791 BCBS
MEDICAID 00278649H BCBS
Other 0481981 BCBS
Other 1950 BCBS

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