Terrell Lee (now)

NPI #1790052637 in Dawson, Georgia

Provider Information

NPI Number
1790052637
Entity Type
Organization
Organization Name
Terrell Lee (now)
Primary Specialty
Clinic/Center - Developmental Disabilities
Enumeration Date
Nov 21, 2011
Last Updated
Nov 21, 2011

Practice Location

Address
508 OAK ST SE
City
Dawson
State
Georgia
ZIP Code
39842-2024
Phone
(229) 995-4587

Authorized Official

Name
DAVID BARANKO
Title
CFO
Phone
(229) 430-0416

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Developmental DisabilitiesDevelopmental Disabilities

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