Individual
JAE WON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
417 W 3RD AVE, ALBANY, GA 31701-1943
(229) 312-1000
Mailing address
6216 BROOKRIDGE DR, FLOWERY BRANCH, GA 30542-5378
(678) 617-6605
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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