Individual
SOJEONG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1755 HIGHWAY 34 E STE 1300, NEWNAN, GA 30265-3186
(770) 254-7850
Mailing address
1755 HIGHWAY 34 E STE 1300, NEWNAN, GA 30265-3186
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007487
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT007487
LICENSE
GA
Enumeration date
01/23/2020
Last updated
01/23/2020
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