Individual
VIVIE SHANG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
95 COLLIER RD NW STE 4025, ATLANTA, GA 30309-1750
(404) 574-5820
Mailing address
45 LA RUE PL NW, ATLANTA, GA 30327-4072
(973) 668-2730
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12447
GA
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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