Joon Nam Lee (NPI# 1619024486, PAC ID# 0042108383) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1619024486 |
| PAC ID by PECOS | 0042108383 |
| Professional Enrollment ID | I20040308001156 |
| Full Name | Joon Nam Lee |
| Organization Legal Name | SOUTHERN CRESCENT MEDICAL CLINIC INC |
| Address |
696 Mt Zion Rd Suite C4 Jonesboro GA 30236 |
| Phone Number | 7709681746 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1966 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Secondary Specialties | FAMILY MEDICINE, INTERNAL MEDICINE |
| Group Practice PAC ID | 7214824655 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 696 Mt Zion Rd, Suite C4, Jonesboro, GA 30236 | 7709681746 | SOUTHERN CRESCENT MEDICAL CLINIC INC |
| Organization Legal Name | SOUTHERN CRESCENT MEDICAL CLINIC INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jay Lerner | Chiropractic | Southern Crescent Medical Clinic Inc | 696 Mt Zion Rd, Suite C4, Jonesboro, GA 30236 |
| Michael T Hartpence | Chiropractic | Southern Crescent Medical Clinic Inc | 696 Mt Zion Rd, Suite C4, Jonesboro, GA 30236 |
| Street Address |
696 MT ZION RD SUITE C4 |
| City | JONESBORO |
| State | GA |
| Zip | 30236 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jay Lerner | Chiropractic | Southern Crescent Medical Clinic Inc | 696 Mt Zion Rd, Suite C4, Jonesboro, GA 30236 |
| Michael T Hartpence | Chiropractic | Southern Crescent Medical Clinic Inc | 696 Mt Zion Rd, Suite C4, Jonesboro, GA 30236 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajiv Sood | Physical Medicine and Rehabilitation | Spine and Orthopedic Center | 1287 Hwy 138, Spur 8, Jonesboro, GA 30236 |
| Pran N Sood | Orthopedic Surgery | Spine and Orthopedic Center | 1287 Hwy 138, Spur 8, Jonesboro, GA 30236 |
| Radhakrishnan V Nair | Orthopedic Surgery | Orthopaedic Solutions, P. C. | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-0002 |
| Antenor Velazco | Orthopedic Surgery | Orthopaedic Solutions, P. C. | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-0002 |
| Regina Mercer Ward | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 239 Arrowhead Blvd, Jonesboro, GA 30236-1101 |
| Kanye Willis | General Surgery | Robert Marriott Medical Corp | 293 Arrowhead Blvd, Jonesboro, GA 30236-1101 |
| Courtney Herndon | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 239 Arrowhead Blvd, Jonesboro, GA 30236-1101 |
| Rafik B Kashlan | General Surgery | 242 Arrowhead Blvd, Jonesboro, GA 30236-1106 | |
| Genevieve E Broomfield | Registered Dietitian Or Nutrition Professional | 217 Arrowhead Blvd, Suite A2, Jonesboro, GA 30236-1169 | |
| Calvin J Sims | Optometry | 6525 Tara Blvd, Suite 134, Jonesboro, GA 30236-1227 | |
| Find all physicians in zip 30236 | |||
| City | JONESBORO |
| Zip Code | 30236 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | JONESBORO + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Joon Nam Lee.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.