Doctor Name: | MRS. RHONDA KIM LEE |
NPI Number: | 1013069715 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | RN047346 |
Business Practice Address: | 677 Church St Ne Marietta, GA - 300601101 |
Business Phone Number: | 7707937173 |
Business Fax Number: | |
Mailing Address: | 2112 Bishop Creek Dr, MARIETTA |
State: | GA |
Postal Code: | 300626310 |
Phone Number: | 7705524771 |
Fax Number: | |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 10/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WW0000X |
License Number: | RN047346 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Wound Care |
Taxonomy Definition: |