Individual
LEE JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-2273
Mailing address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-2273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15793
TX
Other
Enumeration date
04/06/2016
Last updated
11/06/2025
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