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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

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