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Individual

DR. JINOO TOMMY LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
207 OLD LEXINGTON RD, THOMASVILLE, NC 27360-3428
(336) 474-3444
(336) 474-8111
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 474-3444
(336) 474-8111

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200800851
NC
207Q00000X
Family Medicine Physician
LL27074
SC
207Q00000X
Family Medicine Physician
ME101283
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00038300
FL
01
30745
BCBS
FL
01
4474955
CIGNA
FL
Enumeration date
07/25/2006
Last updated
06/02/2016
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