Individual
DR. JI SUP LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
15 N DIVISION ST NW, ROME, GA 30165-2327
(706) 235-5591
(706) 232-3214
Mailing address
15 N DIVISION ST NW, ROME, GA 30165-2327
(706) 235-5591
(706) 232-3214
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH027517
GA
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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