Individual provider · Type 1 NPI

Jae N/a Lee

Military Health Care Provider · Suwanee, GA

NPI number 1669345542 Active

Practice location

625 Old Peachtree Rd NW
Suwanee, GA 30024-2937

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

36 other providers at this address

About NPI 1669345542

Jae N/a Lee's National Provider Identifier is 1669345542, issued on Sep 25, 2025. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Suwanee, GA. The record was last updated on May 27, 2026.