Individual
KYUNGMI LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1162 WEST AVE, CARTERSVILLE, GA 30120-6138
(770) 606-1260
Mailing address
6125 ROSWELL RD UNIT 619, ATLANTA, GA 30328-3944
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030404
GA
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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