Lee, Jeffrey Yoonsuk
Lee, Jeffrey Yoonsuk is an individual health care provider with primary practice located at 165 N Park Trl Suite 100, Stockbridge GA 30281-6500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Lee, Jeffrey Yoonsuk can be contacted via phone (770) 506-1800.Contact Information
Primary practice address
165 N Park Trl Suite 100
Stockbridge GA 30281-6500
Phone: (770) 506-1800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | OS014138 | Pennsylvania |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | OS014138 | Pennsylvania |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 70139 | Georgia |
Profile Details
NPI number | 1316145675 |
---|---|
LBN Legal business name | Lee, Jeffrey Yoonsuk |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 10th, 2007 |
Last updated | Mar 29th, 2023 - about last year |
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 | 1316145675 | NPPES |
Pennsylvania | Other | 1991698 | HIGHMARK BLUE SHIELD |
Pennsylvania | MEDICAID | 101999153 | HIGHMARK BLUE SHIELD |
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