Individual
JAESUK LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1325 SATELLITE BLVD NW BLDG 700, SUWANEE, GA 30024-4651
(678) 417-1255
(678) 417-1258
Mailing address
1325 SATELLITE BLVD NW BLDG 700, SUWANEE, GA 30024-4651
(678) 417-1255
(678) 417-1258
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
634175
NY
363LF0000X
Family Nurse Practitioner
Primary
RN244828
GA
Other
Enumeration date
10/23/2014
Last updated
01/19/2015
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