Individual
CHAE EUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
1990 LAKESIDE PKWY, SUITE 170, TUCKER, GA 30084-5884
(770) 938-1757
(770) 938-1759
Mailing address
PO BOX 13003, ATLANTA, GA 30324-0003
(770) 938-1757
(770) 938-1759
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN062923
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN062923
NURSE LICENSE NUMBER
GA
Enumeration date
05/10/2006
Last updated
08/12/2008
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