Provider Demographics
NPI:1871201673
Name:LEE, MARGARET (RMA, CPT)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:RMA, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 451
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:SC
Mailing Address - Zip Code:29571-0451
Mailing Address - Country:US
Mailing Address - Phone:843-331-8981
Mailing Address - Fax:
Practice Address - Street 1:2553 E HIGHWAY 76
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:SC
Practice Address - Zip Code:29571-6347
Practice Address - Country:US
Practice Address - Phone:843-331-8981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC42D2256457291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory