Individual provider · NPI-1

Sanghyub Lee

Military Hospital · Fort Stewart, GA

NPI number1417307190
StatusActive
Last updated in NPPESJun 14, 2016

Details

NPI
1417307190
Entity type
Individual (NPI-1)
Name
Sanghyub Lee
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 14, 2016
Last updated
Jun 14, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
286500000X Military Hospital––Yes

Practice location

411 E 9th St # 74
Fort Stewart, GA 31314-5036

Phone 619-272-1184

Mailing address

411 E 9th St # 74
Fort Stewart, GA 31314-5036

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