SUNG B LEE (NPI# 1740260231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740260231 |
| Entity Type | Individual |
| Full Name | SUNG B LEE |
| Credential | M.D. |
| Practice Address |
1315 Jesse Jewell Pkwy Ne Ste 300 Gainesville GA 30501-3822 |
| Mailing Address |
Po Box 742616 Atlanta GA 30374-2616 |
| Practice Telephone | 7702196520 |
| Mailing Telephone | 7702198420 |
| Mailing Fax Number | 7702198440 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
69021 | GA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
45775 | MN | Allopathic & Osteopathic Physicians |
| N | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
060921 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 544105600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1364 Clifton Rd Ne, Suite Ag-21, Atlanta, GA 303221059 | 4047124991 | 4047120293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268227 | Sung Hyun Lee | Registered Nurse | 4800 Hanover Dr, Flower Mound, TX 75028-7324 | 2020-02-28 |
| 1114438637 | Sung Kwang Lee | General Practice | 2801 Falcon Ridge, Clermont, FL 34711 | 2017-10-24 |
| 1720471196 | Sung H Lee | Social Worker | 1150 N Knollwood Cir, Anaheim, CA 92801-1307 | 2015-03-10 |
| 1740687110 | Sung Lee | General Practice | 2918 Pasture Ln, Sugar Land, TX 77479-1845 | 2014-12-01 |
| 1174953913 | Sung Ae Lee | Radiology | 820 W. Ravina Lane, Anthem, AZ 85086 | 2013-11-14 |
| 1992139075 | Sung Bok Lee | Acupuncturist | 80-18 221street, Queens Village, NY 11427 | 2013-08-26 |
| 1104140532 | Sung K Lee | Pharmacist | 750 Klondike Ave, Staten Island, NY 10314-4824 | 2010-03-13 |
| 1063671568 | Sung W Lee | Dentist | 15870 Soquel Canyon Pkwy Ste I, Chino Hills, CA 91709-7941 | 2008-06-09 |
| 1093983660 | Sung S Lee | Physical Therapist | 6860 Commercial Dr, Unit C, Springfield, VA 22151-4201 | 2008-02-15 |
| 1336345347 | Sung Ae Lee | Dentist | 2560 Royal Lane, #222, Dallas, TX 75229 | 2007-06-26 |
| Street Address |
1315 JESSE JEWELL PKWY NE STE 300 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295729945 | Ann Marie Byers | Nurse Practitioner | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2005-09-08 |
| 1477104834 | Rachel Lynn Metz | Physician Assistant | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2019-09-26 |
| 1194176446 | Nhi-kieu Nguyen | Family Medicine | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 | 2016-06-28 |
| 1699132605 | Stacy Marie Eaton | Nurse Practitioner | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2016-01-21 |
| 1396088027 | Ava Ferdinand | Psychiatry & Neurology | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2013-04-01 |
| 1639422983 | Natalya Kovalenko | Physician Assistant | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2012-10-24 |
| 1942567060 | James Nathaniel Starr | Psychiatry & Neurology | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2012-04-13 |
| 1013292382 | Laura J Banner | Nurse Practitioner | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2011-10-18 |
| 1023176369 | James Patrick Mullin | Clinical Neuropsychologist | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 | 2006-12-05 |
| 1639253818 | Devin Paige Vicknair | Counselor | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215315569 | Kathryn Pax Lattimore Moore | Psychiatry & Neurology | Uf Health Center for Movement Disorder and Restoration, 3450 Hull Rd, Gainesville, FL 32607 | 2015-05-07 |
| 1760801815 | Pouya Alexander Ameli | Psychiatry & Neurology | Uf Neurology Mcknight Brain Institute 1149 Newell Drive, Gainesville, FL 32610-0001 | 2014-04-15 |
| 1104265909 | Nakia Wilson | Psychiatry & Neurology | 100 Newell Dr Ste L3-100, Gainesville, FL 32610 | 2013-06-14 |
| 1760829824 | Justin Michael Yancey | Psychiatry & Neurology | 4343 W Newberry Rd Ste 3, Gainesville, FL 32607 | 2013-05-30 |
| 1457643314 | Addie Patterson | Psychiatry & Neurology | 3450 Hull Rd Fl 4, Gainesville, FL 32607-4144 | 2011-05-11 |
| 1629380720 | Qingshan Teng | Psychiatry & Neurology | 100 S Newell Dr, L3-100, Gainesville, FL 32610-0236 | 2010-07-06 |
| 1942432067 | Buna Joe Wilder Sr. | Psychiatry & Neurology | 10530 Nw 15th Pl, Gainesville, FL 32606 | 2009-08-24 |
| 1457568644 | Daniel Lamar Cobb | Psychiatry & Neurology | 1485 Jesse Jewell Pkwy Ne Ste 240, Gainesville, GA 30501-3801 | 2007-05-17 |
| 1962620070 | Suvarchala Somayajula | Psychiatry & Neurology | 1315 Jesse Jewell Parkway Se, Suite 300, Gainesville, GA 30501 | 2007-04-23 |
| 1346348281 | George G Feussner Md Pa | Psychiatry & Neurology | 7106 Nw 11th Place, Suite A, Gainesville, FL 32605-3157 | 2006-09-21 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on SUNG B 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.