Provider Demographics
NPI:1295712073
Name:LEE, JAMES WHITFIELD JR (PA)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:WHITFIELD
Last Name:LEE
Suffix:JR
Gender:M
Credentials:PA
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Mailing Address - Street 1:PO BOX 1869
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-1869
Mailing Address - Country:US
Mailing Address - Phone:828-687-5616
Mailing Address - Fax:828-650-8076
Practice Address - Street 1:1881 PISGAH DR
Practice Address - Street 2:BLDG A
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3760
Practice Address - Country:US
Practice Address - Phone:828-697-4336
Practice Address - Fax:828-694-6757
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2016-07-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC9710181363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC157APOtherBCBS NC
NC70005072OtherMEDICARE RR
NC157APOtherBCBS NC
S91182Medicare UPIN