Search › Georgia › 204E00000X
Jacob Lee, DMD, MD
NPI 1912438805 · on the registry since 2017
Practice
- Address
- 1260 Highway 54 Ste 200
Fayetteville, GA 30214 - Phone
- (770) 461-2101
Additional practice sites
- 1825 Highway 34 E Ste 1700, Newnan, GA
Registry record
- Primary taxonomy
- 204E00000X
204E00000X
- Also registered as
- 1223S0112X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia