Individual
JOSEPHINE Y. LEE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
GEORGIA TECH ATHLETIC ASSOCIATION, 150 BOBBY DODD WAY, NW, ATLANTA, GA 30332-0001
(404) 385-2960
(404) 894-0695
Mailing address
2834 VININGS CENTRAL DR SE, SMYRNA, GA 30080-6785
(404) 352-5865
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000695
GA
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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