Organization
TBK WOUND MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEUNG KWON LEE (PRESIDENT)
(330) 519-5005
Entity
Organization
Contact information
Practice address
4449 EASTON WAY, 2ND FLOOR, COLUMBUS, OH 43219-6093
(330) 519-5005
Mailing address
4449 EASTON WAY, 2ND FLOOR, COLUMBUS, OH 43219-6093
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35061405
OH
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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