Individual
PAGE SOOKHYUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2480 WINDY HILL RD SE STE 405, MARIETTA, GA 30067-8658
(800) 640-3451
Mailing address
PO BOX 1200, PLEASANT GROVE, UT 84062-1200
(800) 640-3451
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN-NP229906
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN229906
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003194549
—
GA
Enumeration date
04/15/2016
Last updated
01/27/2026
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