DR. JIEHYUN LEE (NPI# 1649663329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649663329 |
| Entity Type | Individual |
| Full Name | DR. JIEHYUN LEE |
| Credential | PHARMD |
| Practice Address |
1584 Adams Ave Braselton GA 30517-4323 |
| Mailing Address |
Po Box 733 Braselton GA 30517-0013 |
| Practice Telephone | 8608824035 |
| Mailing Telephone | 6787253430 |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2020-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PCT.0012000 | CT | Pharmacy Service Providers |
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
RPH029713 | GA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1515 River Pl Ste 200, Braselton, GA 305175603 | 7708486140 | |
| 625 Old Peachtree Rd Nw, 3020, Suwanee, GA 300242937 | 6784077368 |
| Street Address |
1584 ADAMS AVE |
| City | BRASELTON |
| State | GA |
| Zip Code | 30517-4323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558339 | My Pharmacist Friend, LLC | Clinic/Center | 1584 Adams Ave, Braselton, GA 30517-4323 | 2020-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063904076 | Northeast Georgia Dental Group | Dentist | 1205 Friendship Road, Braselton, GA 30517 | 2018-06-05 |
| 1548772544 | Shaniqua Lynee Sims | Nurse Practitioner | 1515 River Pl Ste 280, Braselton, GA 30517 | 2017-10-30 |
| 1538671847 | Georgia Pain and Wellness Center | Durable Medical Equipment & Medical Supplies | 1255 Frienship Road, Suite 150, Braselton, GA 30517 | 2017-10-26 |
| 1295137735 | Connie Johnson | Occupational Therapy Assistant | 5373 Thompsons Mill Rd., Braselton, GA 30517 | 2014-09-16 |
| 1780970921 | Christopher Thomas Middendorf | Hospitalist | 1400 River Place, Braselton, GA 30517 | 2011-06-27 |
| 1407140999 | Ashley Williams Zimmerman | Registered Nurse | 1515 River Pl Ste 340, Braselton, GA 30517 | 2011-06-02 |
| 1891097382 | Thu Mong Tran Nguyen | Dentist | 1702 Ammon Falls Ct, Braselton, GA 30517 | 2010-12-03 |
| 1053436030 | Andrew L Tam | Dentist | 5122 Hwy 53, Braselton, GA 30517 | 2007-03-20 |
| 1871503987 | Kathy Baxendale Morse | Nurse Practitioner | 2695 Old Winder Hwy, Suite 200, Pediatric Associates, Braselton, GA 30517 | 2006-08-09 |
| 1073585782 | Champak Patel | Legal Medicine | 5196 Hwy 53, Braselton, GA 30517 | 2006-02-06 |
| Find all providers in zip 30517 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1134669864 | Stephen Shearer | Pharmacist | 132 Holly Reserve Pkwy, Canton, GA 30114-8861 | 2017-02-28 |
| 1578015210 | Carlos Fuentes | Pharmacist | 48 Coca Cola Place, Atlanta, GA 30303 | 2016-10-28 |
| 1497107668 | Kirby Welston | Pharmacist | 9249 Highway 29 S # A, Athens, GA 30601-6352 | 2016-07-12 |
| 1093166761 | Melanie Michele Gregg | Pharmacist | 120 Adam Ridge Ln, Fayetteville, GA 30214-1806 | 2016-06-23 |
| 1497354583 | Joanne Mary Deutsch | Pharmacist | 8465 Holcomb Bridge Rd, Johns Creek, GA 30022-8530 | 2020-10-20 |
| 1659998177 | Jamie Elizabeth Coates | Pharmacist | 20 Glenlake Pkwy, Atlanta, GA 30328-3431 | 2020-06-30 |
| 1467071670 | Mary Hannah Carpenter | Pharmacist | 1120 15th St, Augusta, GA 30912-0004 | 2020-04-09 |
| 1861035677 | Ashley Cowan | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2019-10-24 |
| 1972154524 | Jennifer Whitney Huddleston | Pharmacist | 1270 Prince Ave Ste 201, Athens, GA 30606-2789 | 2019-09-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.