Lee, Ji Yeon

Lee, Ji Yeon is an individual health care provider with primary practice located at 3400C Old Milton Pkwy Ste 425 , Alpharetta GA 30005-4438. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Lee, Ji Yeon can be contacted via phone (770) 343-8760.

Contact Information

Primary practice address
3400C Old Milton Pkwy Ste 425 Alpharetta GA 30005-4438
Phone: (770) 343-8760
Fax: (770) 664-2101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125059880 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 078673 Georgia

Profile Details

NPI number 1316235435
LBN Legal business name Lee, Ji Yeon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2011
Last updated Sep 7th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316235435 NPPES
Georgia MEDICAID 003193040C
Georgia MEDICAID 003193040B
Georgia MEDICAID 003193040A

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