Individual
DR. KYU CHAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 STUART AVE # 9-34, COLUMBIA, SC 29207-5700
(803) 751-0456
Mailing address
4500 STUART STREET, MONCRIEFAHC 9-34, FORT JACKSON, COLUMBIA, SC 29207
(803) 751-0456
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D0023629
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
397781100
—
MD
Enumeration date
12/30/2005
Last updated
07/21/2022
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