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Individual
DR. DAVID INKUN SONG
Active
Individual
DR. DAVID INKUN SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM508
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3812995
—
TN
01
—
4026804
BLUE CROSS BLUE SHIELD
TN
01
—
4671140001
DME MAC
TN
Enumeration date
08/31/2006
Last updated
04/14/2008
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