Active NPI
Sanghyub Lee
- Military Hospital
- Fort Stewart, GA
National Provider Identifier
1417307190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Hospital
- Practice address
- 411 E 9TH St # 74
Fort Stewart, GA 31314-5036 - Phone
- (619) 272-1184
- NPI assigned
- Jun 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Hospital | 286500000X | Primary |
Addresses
Primary practice location
411 E 9TH St # 74
Fort Stewart, GA 31314-5036
Mailing address
411 E 9TH St # 74
Fort Stewart, GA 31314-5036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1417307190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 E 9TH ST # 74",
"city": "FORT STEWART",
"state": "GA",
"postal_code": "313145036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 E 9TH ST # 74",
"city": "FORT STEWART",
"state": "GA",
"postal_code": "313145036",
"telephone_number": "619-272-1184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SANGHYUB",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-14",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "286500000X",
"taxonomy_group": "",
"desc": "Military Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Stewart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.