| Peter K Lee Md Pc | |
|
34 Upper Riverdale Rd Se Suite 100a Riverdale GA 30274-2635 | |
| (770) 907-7222 | |
| (770) 991-3154 |
| Full Name | Peter K Lee Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 34 Upper Riverdale Rd Se, Riverdale, Georgia |
| Authorized Official Name and Position | Peter K. Lee (PRESIDENT) |
| Authorized Official Contact | 7709077222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter K Lee Md Pc 34 Upper Riverdale Rd Se Suite 100a Riverdale GA 30274-2635 Ph: (770) 907-7222 | Peter K Lee Md Pc 34 Upper Riverdale Rd Se Suite 100a Riverdale GA 30274-2635 Ph: (770) 907-7222 |
| NPI Number | 1326258054 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 05/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326258054 | NPI | - | NPPES |
| DD2539 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 38545 (Georgia) | Primary |
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