Provider Demographics
NPI:1467815779
Name:LEE, NATHAN DONALD (DVM, DACVR-RO)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:DONALD
Last Name:LEE
Suffix:
Gender:M
Credentials:DVM, DACVR-RO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 ABERNATHY RD
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-2505
Mailing Address - Country:US
Mailing Address - Phone:404-459-0903
Mailing Address - Fax:
Practice Address - Street 1:393 WOODS LAKE RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-2775
Practice Address - Country:US
Practice Address - Phone:864-233-7650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-04
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAVET007317174400000X
SC4358174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist