# DR. SOOL KEE SONG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1891177382
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 7612 | GA | Yes |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | 80798 | GA | — |
| 207QA0505X | Adult Medicine Physician | 80798 | GA | — |

## Other

- **Enumeration date:** 06/22/2015
- **Last updated:** 08/21/2024