Marion O. Lee,Jr. M.D., P.C.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

37596 Issued in GA

Legal business name

MARION O. LEE,JR. M.D., P.C.

Practice address

910 N 5TH St
Suite D
Cordele, GA 31015-3254

Phone

(229) 391-2910

Fax

(229) 386-4770

NPI assigned

Dec 4, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Nakia McCoggle

Title

Credentialing Specialist

Phone

(229) 238-0298

Specialties & licenses 1

Addresses

Other names 1

• Marion O. Lee Jr. M.D. PLLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William L Dougherty, PAC

  • Physician Assistant
  • Thomasville, GA
  • NPI 1063520880
  NPD (past)

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1790013613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2773 MARSHALL DR",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317938101",
            "telephone_number": "229-238-0121",
            "fax_number": "229-238-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N 5TH ST",
            "address_2": "SUITE D",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153254",
            "telephone_number": "229-391-2910",
            "fax_number": "229-386-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION O. LEE,JR. M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-04",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "MCCOGGLE",
        "authorized_official_first_name": "NAKIA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "229-238-0298",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "37596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marion O. Lee Jr. M.D. PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Macon County School System
• Macon Orthopaedic & Hand Center, PA
• Melinda Mallory, BC-HIS
• Samantha Dahlia Manderson, M.D.
• Lois Rae March, M.D.
• Heath Martin, PT
• Laurie Howell Martin, MPT
• Brett E Mason
• Kelly Mathis
• Marvin Tolbert McAfee III, PA-C

• Interventional Pain Medicine Physician in Cordele, GA
• Providers in Cordele, GA by specialty
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.