Lee, Louis G

Lee, Louis G is an individual health care provider with primary practice located at 112 Mimosa Dr , Thomasville GA 31792-6605. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Lee, Louis G can be contacted via phone (229) 227-0045.

Contact Information

Primary practice address
112 Mimosa Dr Thomasville GA 31792-6605
Phone: (229) 227-0045
Fax: (229) 227-9120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 021540 Georgia
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 021540 Georgia

Profile Details

NPI number 1053316521
LBN Legal business name Lee, Louis G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Aug 3rd, 2020 - about 6 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 1053316521 NPPES
Georgia MEDICAID 000205994D

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