Jae Du Lee, | |
6019 Walnut Grove Rd, Memphis, TN 38120-2113 | |
(901) 226-5000 | |
Not Available |
Full Name | Jae Du Lee |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 6019 Walnut Grove Rd, Memphis, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1053066373 | NPI | - | NPPES |
Entity Name | American Anesthesiology Of Tennessee Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364 |
Mailing Address | Practice Location Address |
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Jae Du Lee, 5332 Sea Isle Rd, Memphis, TN 38119-5908 Ph: () - | Jae Du Lee, 6019 Walnut Grove Rd, Memphis, TN 38120-2113 Ph: (901) 226-5000 |
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