Individual
JONATHAN EDWARD LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
130 JONESBORO ST APT C, MCDONOUGH, GA 30253-3146
(770) 309-8628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN296514
GA
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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