Dr. Bothwell Graves Lee
Neurosurgeon
1630 Woodbrooke Dr
Salisbury
, Maryland 21804-8501
Dr. Bothwell Graves Lee
Neurosurgeon
1630 Woodbrooke Dr
Salisbury
, Maryland 21804-8501
(800) 749-5191
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Dr. Bothwell Graves Lee
- 100 E Carroll St
- Salisbury, MD
- Zip : 21801-5422
- Phone : (800) 749-5191
Second Address
- Dr. Bothwell Graves Lee
- 1630 Woodbrooke Dr
- Salisbury, MD
- Zip : 21804-8501
- Phone : (410) 912-6330
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207T00000X | Neurosurgeon | 0101221427 | VA |
| Y | 207T00000X | Neurosurgeon | D0057234 | MD |
National Provider Identifier
| NPI | 1043320252 |
|---|---|
| Provider Name | Dr. Bothwell Graves Lee |
| First Address | Salisbury, MD 21801-5422 |
| Second Address | Salisbury, MD 21804-8501 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 11/07/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 581314YTQ | (05) | MD |
| B-76461 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.