MARION O. LEE,JR. M.D., P.C.
Psychiatric at 5 St, Cordele, GA

License number
Georgia 37596
Category
Psychiatric
Type
Interventional Pain Medicine
Owner
Name: MRS. NAKIA MCCOGGLE
Title: CREDENTIALING SPECIALIST
Phone: (229) 238-0298
Address
Address 2
910 N 5Th St SUITE D, Cordele, GA 31015
2773 Marshall Dr, Tifton, GA 31793
National Provider ID: 1790013613
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Marion O. Lee, Jr., M.D., PC

2233 Arabi Warwick Rd, Cordele, GA 31015

Industry:
Medical Doctor's Office
Phone:
(229) 276-3309 (Phone)
Chief Executive Officer:
Marion O. Lee (Chief Executive Officer)

MARION O. LEE, JR., M.D., PC

PO Box 7083, Tifton, GA 31793

Status:
Inactive
Registration:
Sep 6, 2001
Inactive since:
Dec 23, 2014
State ID:
0140307
Business type:
Domestic Professional Corporation
CEO:
O. Jr., Lee (CEO), 2233 Arabi Warwick Rd, Cordele, GA 31015 (Physical)
Agent:
Marion O. Lee,2233 Arabi-Warwick Rd, Cordele, GA (Physical)

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