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Individual

HANK SUNG LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
42104 HIGHWAY 195, HALEYVILLE, AL 35565-7053
(205) 485-7284
(205) 486-1903
Mailing address
PO BOX 599, HALEYVILLE, AL 35565-0599
(205) 485-7284
(205) 485-7392

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AL7617
AL
207Q00000X
Family Medicine Physician
AL7617
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000003590
AL
01
406021726
RAILROAD MEDICARE
AL
01
4381976
AETNA
AL
01
51003590
BC/BC OF ALA
AL
01
630722257
TRICARE
AL
Enumeration date
06/01/2005
Last updated
03/05/2025
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