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Dr. Jesse Thomas Lee
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. Jesse Thomas Lee |
| Gender: | M |
| Provider License Number If Given: | 26681 |
NPI Information:
| NPI: | 1811990831 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 5/23/2005 |
| Last Update Date: | 10/9/2014 |
Provider Business Mailing Address:
| Address: | 1850 W ARLINGTON BLVD Greenville, NC 27834 |
| Phone Number: | 2527526101 |
| Fax Number: | 2527526600 |
Provider Business Practice Location Address:
| Address: | 1850 W ARLINGTON BLVD Greenville, NC 27834 |
| Phone Number: | 2527526101 |
| Fax Number: | 2527526600 |
Provider Taxonomy:
| Primary: | 207RH0003X |
| Secondary (if any): | |
| State: | NC |
