Hanjoon Mike Song MD

NPI 1063502375 - Plastic Surgery - 208200000X

NPI Details
NPI 1063502375
Gender Male
Enumeration Date 10/15/2006
Last Updated 10/19/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
3096 PEACHTREE INDUSTRIAL BLVD
DULUTH GA, 30097, US
Phone (770) 495-1477
Fax (770) 495-1488
Business Location
3096 PEACHTREE INDUSTRIAL BLVD
DULUTH GA, 30097, US
Phone (770) 495-1477
Fax (770) 495-1488
Toxanomy
Taxonomy Code 208200000X
License State Georgia
License Number 057679
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According to our database, Dr. Hanjoon Mike Song MD NPI is 1063502375, taxonomy code is 208200000X and license number is 057679, license state is located at Georgia. Hanjoon Mike Song MD physically located at 3096 Peachtree Industrial Blvd, Duluth GA, 30097. NPI Number Hanjoon Mike Song MD has the Individual type.

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1063502375 NPI number is provided on an as is basis without warranty of any kind. 1063502375 is maintained by the National Plan & Provider Enumeration System. The contents of Hanjoon Mike Song MD are for informational purposes only.