Doctor Name: | YUNG GIL LEE |
NPI Number: | 1982750402 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD007963 |
Business Practice Address: | 315 Grady Rd Etowah, TN - 37331 |
Business Phone Number: | 4232635400 |
Business Fax Number: | 4232630674 |
Mailing Address: | Po Box 725, 315 Grady Rd ETOWAH |
State: | TN |
Postal Code: | 37331 |
Phone Number: | 4232635400 |
Fax Number: | 4232630674 |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD007963 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |