| Doctor Name: | JAMES R. LEE |
| NPI Number: | 1164848156 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | BSN |
| License Number: | 60097 |
| Business Practice Address: | 110 E Boyce St Manning, SC - 291023408 |
| Business Phone Number: | 8034354355 |
| Business Fax Number: | 8034352065 |
| Mailing Address: | 1929 Diles Bay Rd, TURBEVILLE |
| State: | SC |
| Postal Code: | 291628892 |
| Phone Number: | 8034354355 |
| Fax Number: | 8034352065 |
| NPI Enumeration Date: | 03/14/2014 |
| NPI Last Update Date: | 03/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 60097 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |