Individual
JIA WEN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2850 HOG MOUNTAIN RD STE 101, DACULA, GA 30019-5935
(770) 614-7170
(770) 614-8233
Mailing address
2850 HOG MOUNTAIN RD STE 101, DACULA, GA 30019-5935
(770) 614-7170
(770) 614-8233
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
89138
GA
207R00000X
Internal Medicine Physician
LL52029
SC
Other
Enumeration date
06/18/2018
Last updated
07/27/2023
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