Medrad, LLC

NPI #1073082830 in Macon, Georgia

Provider Information

NPI Number: 1073082830
Entity Type: Organization
Organization Name: Medrad, LLC
Primary Specialty: Specialist
Enumeration Date: Nov 21, 2018
Last Updated: Jun 19, 2019

Practice Location

Address: 1818 FORSYTH ST
City: Macon
State: Georgia
ZIP Code: 31201
Phone: (478) 738-0099

Authorized Official

Name: KUO LAM LEE, MD
Title: OWNER
Phone: (478) 738-0099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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