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Contact Information

WANDA DETIEGE LEE, MD
150 GILBREATH DR
ONEONTA FAMILY CLINIC
ONEONTA, AL35121-2827
 Phone: 205-274-3353
 Fax: 205-274-3354
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Hospice and Palliative Medicine

207PH0002X 17 Physician/Hospice and Palliative Care
 

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for WANDA DETIEGE LEE · (Female)

NPI Number 1144334590
Status Active
Credentials MD
Entity Individual
Enumeration date 08/19/2006
Last updated 02/18/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 00014415
  • AL License # 14415
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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