Lee Jin, PA
NPI #1922462951 in Fort Moore, Georgia
Provider Information
- NPI Number
- 1922462951
- Entity Type
- Individual
- Name
- Lee Jin, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Apr 6, 2016
- Last Updated
- Nov 6, 2025
Practice Location
- Address
- 6600 VAN AALST BLVD
- City
- Fort Moore
- State
- Georgia
- ZIP Code
- 31905-2102
- Phone
- (762) 408-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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