Lee, Joon Nam
Lee, Joon Nam is an individual health care provider with primary practice located at 696 Mount Zion Rd Suite C-4, Jonesboro GA 30236-1597. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lee, Joon Nam can be contacted via phone (770) 968-1746.Contact Information
Primary practice address
696 Mount Zion Rd Suite C-4
Jonesboro GA 30236-1597
Phone: (770) 968-1746
Fax: (770) 968-0727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 015017 | Georgia |
Profile Details
| NPI number | 1619024486 |
|---|---|
| LBN Legal business name | Lee, Joon Nam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619024486 | NPPES |
| Georgia | MEDICAID | 000135572I |
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