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Individual

SUNAE HYUN LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PEDORTHIST

Contact information

Practice address
2550 PLEASANT HILL RD STE 106, DULUTH, GA 30096-4153
(470) 385-6020
Mailing address
2550 PLEASANT HILL RD STE 106, DULUTH, GA 30096-4153
(470) 385-6020

Taxonomy

Speciality
Code
Description
License number
State
224L00000X
Pedorthist
CPED4487
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
CPED4487
GA

Other

Enumeration date
07/07/2019
Last updated
10/24/2019
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