Individual
MISS JI Y LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2237 HIGHWAY 9 E, LONGS, SC 29568-5701
(877) 231-3376
Mailing address
PO BOX 23329, NEW YORK, NY 10087-3329
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11435
NC
363A00000X
Physician Assistant
MPA.5161
SC
Other
Enumeration date
10/31/2019
Last updated
03/27/2026
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