IndividualActive
Jae Lee
NPI 1669345542 · Military Health Care Provider · Suwanee, GA
Provider details
- NPI number
- 1669345542
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
625 Old Peachtree Rd Nw
Suwanee, GA 30024-2937
Phone: (678) 225-7500
Approximate (ZIP-level) locationGet directions
Mailing address
625 Old Peachtree Rd Nw
Suwanee, GA 30024-2937
Registry dates
- Enumerated
- 2025-09-25
- Last updated
- 2026-05-27
- Certified
- 2026-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.