Provider Demographics
NPI:1538110200
Name:LEE, MARION O JR (MD)
Entity Type:Individual
Prefix:DR
First Name:MARION
Middle Name:O
Last Name:LEE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2773 MARSHALL DR
Mailing Address - Street 2:
Mailing Address - City:TIFTON
Mailing Address - State:GA
Mailing Address - Zip Code:31793-8101
Mailing Address - Country:US
Mailing Address - Phone:229-238-0121
Mailing Address - Fax:229-238-0124
Practice Address - Street 1:910 N 5TH ST
Practice Address - Street 2:SUITE D
Practice Address - City:CORDELE
Practice Address - State:GA
Practice Address - Zip Code:31015-3254
Practice Address - Country:US
Practice Address - Phone:229-391-2910
Practice Address - Fax:229-386-4770
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2021-03-12
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Provider Licenses
StateLicense IDTaxonomies
GA37596207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine