Basic Information
| Provider Information | |||||||||
| NPI: | 1023033222 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HAM | ||||||||
| FirstName: | JEE-YOUNG | ||||||||
| MiddleName: | NINA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2015 UPPERGATE DR NE | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303220001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4047852000 | ||||||||
| FaxNumber: | 4047859022 | ||||||||
| Practice Location | |||||||||
| Address1: | 2015 UPPERGATE DR NE | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303220001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4047852000 | ||||||||
| FaxNumber: | 4047859022 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/12/2006 | ||||||||
| LastUpdateDate: | 07/25/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | M8020 | TX | N | Allopathic & Osteopathic Physicians | Pediatrics | 2080P0205X | M8020 | TX | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Endocrinology | 2080P0205X | 68817 | GA | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Endocrinology | 2080P0205X | MD421498 | PA | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Endocrinology |
No ID Information.