Individual ProviderRobert LeeFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address2033 Meadowview Ln, 200, Kingsport, TN 37660-7569(423) 857-2260(423) 857-2066PECOS EnrollmentBased on the most recent information from CMS, provider Robert Lee does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 4:18 PM.Profile DetailsProvider ID1215931852Provider TypeIndividualFull NameLee, RobertCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/10/2005Last Updated9/12/2013Contact InformationPractice LocationPractice Address2033 Meadowview Ln, 200, Kingsport, TN 37660-7569Phone(423) 857-2260FaxUnlisted FaxMailing LocationMailing AddressPO Box 9, Kingsport, TN 37662-0009Phone(423) 857-2066Fax(423) 857-2070Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseMD 13830TennesseeCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense0101031305VirginiaProvider IdentifiersIDDescriptionIssuerID3190001DescriptionMedicaidIssuerUnlistedTennesseeID5610168DescriptionMedicaidIssuerUnlistedVirginia