Individual
MRS. EUN H LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 LANGFORD RD STE 300, PEACHTREE CORNERS, GA 30071-4772
(404) 512-1618
Mailing address
2532 KINGLET CT, DULUTH, GA 30097-5190
(404) 512-1618
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AMBETTER
PEACHCARE
GA
Enumeration date
01/22/2019
Last updated
01/22/2019
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