Organization Active NPI

Yung Gil Lee MD PC

  • General Practice Physician
  • Etowah, TN
National Provider Identifier
1225469497
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
YUNG GIL LEE MD PC
Practice address
315 Grady Rd
Etowah, TN 37331-1903
Phone
(423) 263-5400
Fax
(423) 263-0674
NPI assigned
Dec 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yung G Lee, M. D.
Title
President
Phone
(423) 263-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

315 Grady Rd
Etowah, TN 37331-1903

Mailing address

PO Box 775
Etowah, TN 37331-0775
Phone (423) 263-5400

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1225469497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775",
            "city": "ETOWAH",
            "state": "TN",
            "postal_code": "373310775",
            "telephone_number": "423-263-5400",
            "fax_number": "423-263-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 GRADY RD",
            "city": "ETOWAH",
            "state": "TN",
            "postal_code": "373311903",
            "telephone_number": "423-263-5400",
            "fax_number": "423-263-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUNG GIL LEE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YUNG",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-263-5400",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Etowah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.