Provider Demographics
NPI:1487621033
Name:BATTLE, LEE H III (MD)
Entity type:Individual
Prefix:MR
First Name:LEE
Middle Name:H
Last Name:BATTLE
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 307
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30028-0307
Mailing Address - Country:US
Mailing Address - Phone:770-887-1668
Mailing Address - Fax:770-887-3462
Practice Address - Street 1:775 WEST AVE
Practice Address - Street 2:SUITE A
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-3481
Practice Address - Country:US
Practice Address - Phone:470-315-4689
Practice Address - Fax:470-315-4916
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2014-09-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA20858207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAD91001Medicare UPIN
GA08BDMKBMedicare ID - Type Unspecified
GA111968Medicare Oscar/Certification