Lee, Sung B

Lee, Sung B is an individual health care provider with primary practice located at 1315 Jesse Jewell Pkwy Ne Ste 300 , Gainesville GA 30501-3822. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Vascular Neurology is his primary health care specialty. Lee, Sung B can be contacted via phone (770) 219-6520.

Contact Information

Primary practice address
1315 Jesse Jewell Pkwy Ne Ste 300 Gainesville GA 30501-3822
Phone: (770) 219-6520
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 060921 Georgia
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 69021 Georgia
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 45775 Minnesota

Profile Details

NPI number 1740260231
LBN Legal business name Lee, Sung B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jul 6th, 2023 - about 3 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 1740260231 NPPES
Minnesota MEDICAID 544105600

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