Jung Min Lee, | |
80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | |
(404) 727-7980 | |
Not Available |
Full Name | Jung Min Lee |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 80 Jesse Hill Jr Dr Se, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366193500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN280311 (Georgia) | Primary |
Entity Name | Southeast Medical Group, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235296054 PECOS PAC ID: 3577559673 Enrollment ID: O20040423000347 |
Entity Name | Aga, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124064118 PECOS PAC ID: 2365431350 Enrollment ID: O20040506000726 |
Entity Name | Aga Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063799120 PECOS PAC ID: 3870768997 Enrollment ID: O20111219000311 |
Mailing Address | Practice Location Address |
---|---|
Jung Min Lee, 3770 Kentwood Ct, Suwanee, GA 30024-4488 Ph: (312) 576-9922 | Jung Min Lee, 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 Ph: (404) 727-7980 |
Tracy Purcell Nicholas, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1968 Peachtree Rd Nw, Piedmont Hospital Transplant Services, Atlanta, GA 30309 Phone: 404-605-4602 | |
Ashley Rae Gore, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 275 Collier Rd Nw, Suite 300, Atlanta, GA 30309 Phone: 404-605-2800 Fax: 404-351-5983 | |
Mrs. Anne Compton Symbas, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Howell Mill Rd Nw, Suite 680, Atlanta, GA 30318 Phone: 404-352-1730 Fax: 404-352-6907 | |
Valerie S Webb, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455 | |
Brittany Kathryn Suchanek, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 404-785-5252 | |
Janika Montgomery, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 Park Place Se, 5th Floor, Atlanta, GA 30303 Phone: 404-613-1205 | |
Nicole Coolidge, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-785-6330 Fax: 404-785-6266 |