Lee, Tae Joon

Lee, Tae Joon is an individual health care provider with primary practice located at 2100 Stantonsburg Rd , Greenville NC 27834-2818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lee, Tae Joon can be contacted via phone (252) 847-4273.

Contact Information

Primary practice address
2100 Stantonsburg Rd Greenville NC 27834-2818
Phone: (252) 847-4273
Fax: (252) 816-2581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200501393 North Carolina

Profile Details

NPI number 1952385924
LBN Legal business name Lee, Tae Joon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Nov 22nd, 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 1952385924 NPPES
North Carolina MEDICAID 5901882
North Carolina Other P00252829
North Carolina Other 140NA

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