Provider Demographics
NPI:1851065205
Name:LEE, HYUN MIN (PHARMD)
Entity Type:Individual
Prefix:
First Name:HYUN
Middle Name:MIN
Last Name:LEE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3283 LOWELL RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:GA
Mailing Address - Zip Code:30620-3350
Mailing Address - Country:US
Mailing Address - Phone:706-333-5223
Mailing Address - Fax:
Practice Address - Street 1:17 MONROE HWY STE A
Practice Address - Street 2:
Practice Address - City:WINDER
Practice Address - State:GA
Practice Address - Zip Code:30680-2494
Practice Address - Country:US
Practice Address - Phone:770-307-2906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-08
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC43084183500000X
GA033567183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist