Individual
SEO YOUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5730 GLENRIDGE DR STE 200, ATLANTA, GA 30328-5579
(404) 252-5206
(404) 252-1268
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR18993700
NJ
163W00000X
Registered Nurse
RN685141
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN298728
GA
363LP0200X
Pediatric Nurse Practitioner
SP018057
PA
Other
Enumeration date
11/16/2017
Last updated
11/10/2020
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