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Individual

DANNY KIM LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3501 MEMORIAL PKWY SW, SUITE 200, HUNTSVILLE, AL 35801-5319
(256) 533-0315
(256) 536-0360
Mailing address
3501 MEMORIAL PKWY SW, SUITE 200, HUNTSVILLE, AL 35801-5319
(256) 533-0315
(256) 536-0360

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
058065
GA
207W00000X
Ophthalmology Physician
Primary
MD26750
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18BDGQF
MEDICARE ID
GA
05
991487761A
GA
Enumeration date
03/18/2006
Last updated
04/11/2012
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