Individual
SUNG B LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 JESSE JEWELL PKWY NE STE 300, GAINESVILLE, GA 30501-3822
(770) 219-6520
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
(770) 219-8440
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
45775
MN
2084N0400X
Neurology Physician
69021
GA
2084V0102X
Vascular Neurology Physician
Primary
060921
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
544105600
—
MN
Enumeration date
01/19/2006
Last updated
07/06/2023
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