Individual
DR. TAEWOO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4650
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(367) 164-6503
(336) 716-4318
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
2017009602
MO
207RN0300X
Nephrology Physician
2019042701
MO
207RN0300X
Nephrology Physician
Primary
2023-02991
NC
Other
Enumeration date
06/14/2017
Last updated
01/18/2024
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