# PIB FAMILY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Song Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801631247
- **Authorized official:** DR. SOOL KEE SONG MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (404) 897-0684

## Contact information

- **Practice address:** 2730 PEACHTREE INDUSTRIAL BLVD STE 101, DULUTH, GA 30097-8627
- **Practice address phone:** (404) 548-8850
- **Mailing address:** 2730 PEACHTREE INDUSTRIAL BLVD STE 101, DULUTH, GA 30097-8627
- **Mailing address phone:** (404) 897-0684
- **Mailing address fax:** (404) 897-0729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2024
- **Last updated:** 08/21/2024