Provider Demographics
NPI:1669903670
Name:LEE, JULIE CHOE (FNP-C)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:CHOE
Last Name:LEE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1845 SATELLITE BLVD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-5256
Mailing Address - Country:US
Mailing Address - Phone:404-778-5220
Mailing Address - Fax:404-778-6451
Practice Address - Street 1:1845 SATELLITE BLVD
Practice Address - Street 2:SUITE 500
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-5256
Practice Address - Country:US
Practice Address - Phone:404-778-5220
Practice Address - Fax:404-778-6451
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-22
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN216593363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily