Provider Demographics
NPI:1881890820
Name:LEE, GREGORY H (MD)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:H
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7813 SPIVEY STATION BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-2900
Mailing Address - Country:US
Mailing Address - Phone:404-251-2327
Mailing Address - Fax:404-251-2316
Practice Address - Street 1:1035 SOUTHCREST DR
Practice Address - Street 2:SUITE 100
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-6118
Practice Address - Country:US
Practice Address - Phone:770-389-9005
Practice Address - Fax:770-389-5251
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2021-03-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA61599207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery