Rony  R  Lee    MD
Contract Details
Gulf Coast Occupational. Sports & Pain Medicine
Facility name
Provider ID
P000000980
NPI
1518944834
Tax ID
462829204
Effective Date
2/1/2015
Last Updated
9/26/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1615 North Alston Street
Foley, AL 36535
United States
County
Baldwin
Phone
2519232050 (Phone)
Billing Details
Address
1615 North Alston Street
Foley, AL 36535
Billing Phone
2519232050
Specialty Type
Family Practice
Map
Address