Individual
HYE SOO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 NEWNAN STATION DR STE A, NEWNAN, GA 30265-3194
(404) 944-6454
Mailing address
2575 MOSSY ROCK PL, BUFORD, GA 30519-4595
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN242821
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN242821
GA
Other
Enumeration date
04/07/2021
Last updated
07/01/2021
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