Provider Demographics
NPI:1235131483
Name:LEE, HANK SUNG (MD)
Entity type:Individual
Prefix:
First Name:HANK
Middle Name:SUNG
Last Name:LEE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 599
Mailing Address - Street 2:
Mailing Address - City:HALEYVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35565-0599
Mailing Address - Country:US
Mailing Address - Phone:205-485-7284
Mailing Address - Fax:205-485-7392
Practice Address - Street 1:42104 HIGHWAY 195
Practice Address - Street 2:
Practice Address - City:HALEYVILLE
Practice Address - State:AL
Practice Address - Zip Code:35565-7053
Practice Address - Country:US
Practice Address - Phone:205-485-7284
Practice Address - Fax:205-486-1903
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-01
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL7617207Q00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL4381976OtherAETNA
AL630722257OtherTRICARE
AL51003590OtherBC/BC OF ALA
AL000003590Medicaid
AL406021726OtherRAILROAD MEDICARE
AL4381976OtherAETNA
AL000003590Medicaid