Organization
HANS LEE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE A JACKSON M. D. (PRESIDENT)
(304) 342-1113
Entity
Organization
Contact information
Practice address
1306 KANAWHA BLVD E, SUITE 100, CHARLESTON, WV 25301-3001
(304) 342-1113
(304) 346-2271
Mailing address
1306 KANAWHA BLVD E, SUITE 100, CHARLESTON, WV 25301-3001
(304) 342-1113
(304) 346-2271
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114231002
—
WV
Enumeration date
08/31/2005
Last updated
11/20/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us