Organization
ATLANTA PREMIER GI ENDOSCOPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOON JAE LEE MD (PRESIDENT)
(678) 473-1445
Entity
Organization
Contact information
Practice address
3400 MCCLURE BRIDGE RD STE B201, DULUTH, GA 30096-8705
(678) 473-1445
(770) 418-0483
Mailing address
3400 MCCLURE BRIDGE RD STE B201, DULUTH, GA 30096-8705
(678) 473-1445
(770) 418-0483
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303980642B
—
GA
Enumeration date
04/24/2018
Last updated
04/24/2018
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