Robert Lee DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR005113 Issued in GA

Legal business name

ROBERT LEE DC PC

Practice address

9 Russell Dr
Suite201
Ellijay, GA 30540-5573

Phone

(706) 698-9679

Fax

(706) 698-9678

NPI assigned

Aug 17, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert W Lee, DC

Title

President

Phone

(706) 698-9679

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Robert Lee DC PC Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1528290004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RUSSELL DR",
            "address_2": "SUITE 201",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405573",
            "telephone_number": "706-698-9679",
            "fax_number": "706-698-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RUSSELL DR",
            "address_2": "SUITE201",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405573",
            "telephone_number": "706-698-9679",
            "fax_number": "706-698-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT LEE DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-698-9679",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202G700756",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert Lee DC PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sheri Faye Ray, CNP
• RDSD Occupational Therapy Services LLC
• Rec Leasing LLC
• Bhagat K. Reddy, MD
• Ronald W Reid, DMD
• Daniela Maria Rojas-Molina, MD
• Susan Rollan, NP
• Kathleen Romanick, LCSW
• John E Romeo
• Lisa Ann Ryan, PHARM D

• Chiropractor in Ellijay, GA
• Providers in Ellijay, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.