Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086X0206X | Surgical Oncologist | 074552 | GA |
Y | 208800000X | Urologist | 074552 | GA |
NPI | 1033414834 |
---|---|
Provider Name | Dr. Hak J Lee |
First Address | Calhoun, GA 30701-6010 |
Second Address | Calhoun, GA 30701-6010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2011 |
Last Update Date | 10/08/2015 |