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Individual

JOON NAM LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
696 MOUNT ZION RD, SUITE C-4, JONESBORO, GA 30236-1597
(770) 968-1746
(770) 968-0727
Mailing address
8279 WEBB RD, RIVERDALE, GA 30274-4176
(770) 471-7706
(770) 968-0727

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
015017
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000135572I
GA
Enumeration date
01/04/2007
Last updated
07/08/2007
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