| NPI | 1558879007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE S LEE Doctor 931-552-3292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: TN MD0000040738) |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: TN DS0000008427) |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: TN DS0000008953) | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: TN DS0000009847) | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: TN DS0000005220) | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: GA DN011393) | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: MS 254190) | |
| 204E00000X Oral & Maxillofacial Surgery (Licence: KY 50700) | |
| 2082S0099X Plastic Surgery Plastic Surgery Within the Head and Neck (Licence: TN MD0000040738) | |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2023-11-07 |