DR. SUE KIM LEE (NPI# 1073667127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073667127 |
| Entity Type | Individual |
| Full Name | DR. SUE KIM LEE |
| Credential | MD |
| Practice Address |
2199 N Decatur Road Ste 3 Decatur GA 30033 |
| Practice Telephone | 4043251023 |
| Practice Fax Number | 4043519807 |
| Mailing Telephone | 4043251023 |
| Mailing Fax Number | 4043519807 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | GA14705 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | AMERIGROUP | 01000397 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218366 | Sue J Lee | Speech-Language Pathologist | 355 S High St, Wailuku, HI 96793-2103 | 2019-07-30 |
| 1548625189 | Sue Lee | Nurse Practitioner | 19820 Scriber Lake Rd Ste 2, Lynnwood, WA 98036-6121 | 2015-12-28 |
| 1659636165 | Sue Lee | Specialist | 3510 156th St, Flushing, NY 11354-5022 | 2012-07-10 |
| 1083791065 | Sue O Lee | Chiropractor | 4221 Wilshire Blvd Ste 284, Los Angeles, CA 90010-3509 | 2006-11-01 |
| 1215591037 | Sue Lee | Behavior Technician | 7261 W Charleston Blvd Ste 101, Las Vegas, NV 89117-1679 | 2019-04-26 |
| 1568929461 | Sue Lee | Dentist | 415 W Merrick Rd, Freeport, NY 11520-4144 | 2019-02-27 |
| 1992288344 | Sue Jung Lee | Licensed Vocational Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2018-09-12 |
| 1427458231 | Sue F Lee | Nurse Anesthetist, Certified Registered | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2014-08-28 |
| 1316386485 | Sue Jung Lee | Pharmacist | 417 N Broadway, Jericho, NY 11753-2106 | 2013-06-21 |
| 1275800732 | Sue S Lee | Speech-Language Pathologist | 2040 S Alma School Rd, Suite 1, Pmb 500, Chandler, AZ 85286-7075 | 2011-11-28 |
| Street Address |
2199 N DECATUR ROAD STE 3 |
| City | DECATUR |
| State | GA |
| Zip Code | 30033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972032076 | Martha F Rogers | General Practice | 411 S Mcdonough St, Decatur, GA 30030-3721 | 2017-06-12 |
| 1982910089 | American Family Care, Inc. | General Practice | 2604 Highway 31 S, Decatur, AL 35603-1506 | 2010-08-26 |
| 1780990200 | James E Posey Jr. | General Practice | 801 Church St Ne, 14, Decatur, AL 35601-2472 | 2010-08-21 |
| 1790011823 | Fred Louis Stallings | General Practice | 4289 Wyndham Park Dr, Decatur, GA 30034-5463 | 2009-10-23 |
| 1689867814 | Pamela Gross | General Practice | 219 Missionary Dr, Decatur, GA 30030-3842 | 2007-08-21 |
| 1760673537 | Alpha Medical Center LLC | General Practice | 619 E College Ave Ste C1, Decatur, GA 30030-5326 | 2007-08-07 |
| 1073739579 | Nevorn Askari | General Practice | 1836 Second Ave, Decatur, GA 30032-3970 | 2007-04-17 |
| 1124013495 | Amina Hassanali | General Practice | 1829 Lawrenceville Hwy, Decatur, GA 30033-5728 | 2005-09-13 |
| 1366927741 | Song Kang | General Practice | 320 E Central Ave, Decatur, IL 62521-4665 | 2018-10-01 |
| 1750787438 | Decatur Weightloss & Pain Center LLC | General Practice | 1685 Church St, Suite 207, Decatur, GA 30033-5901 | 2014-11-07 |
| Find all providers in DECATUR | ||||
Please comment or provide details below to improve the information on DR. SUE KIM LEE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.