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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WANDA DETIEGE-LEE, M.D.

Active

Family Medicine · ONEONTA, AL

Registration Details

NPI Number
1144334590
Provider Type
Individual
Gender
Female
NPI Issued
Aug 19, 2006 (19.716267867263 yrs)
Last Updated
Feb 18, 2011
Licenses
00014415 (AL)
14415 (AL)
14415 (AL)
14415 (AL)
14415 (AL)

Practice Information

Address
150 GILBREATH DR
ONEONTA FAMILY CLINIC
ONEONTA, AL, 351212827
Browse AL providers · Browse ZIP 35121
Phone
2052743353
Fax
2052743354
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Nutrition, Education
Additional Specialty
General Practice
Additional Specialty
Family Medicine

Other Family Medicine Providers in ONEONTA, AL

Name Credential NPI
DAVID RANDALL WILSON M.D. 1982795761
JOHN EDWARD SMITH M.D. 1760553978
MINA S KHAN MD 1215095559
DR. JEREMY CURTIS DORNIER M.D. 1043751365
JAYLA ANN SMITH MD 1922622372
IMANI DARA DAYO MCCARTER 1316525306
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.