Individual
MISS EUN JUNG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 604-1053
Mailing address
5671 PEACHTREE DUNWOODY RD STE 610, ATLANTA, GA 30342-5013
(404) 257-8601
(404) 851-1649
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
9394
GA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
07/05/2019
Last updated
10/13/2021
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