Individual
SOONG HYUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
BEHAVIORAL HEALTH CENTER CMC RANDOLPH, 501 BILLINGSLEY ROAD, CHARLOTTE, NC 28211-1009
(704) 358-2700
(704) 358-2716
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 358-2700
(704) 358-2716
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17687
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013121094
—
NC
05
—
891174N
—
NC
05
—
NC1014
—
SC
Enumeration date
05/09/2007
Last updated
05/08/2014
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