Individual
DR. HANJOON MIKE SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3096 PEACHTREE INDUSTRIAL BLVD, DULUTH, GA 30097
(770) 495-1477
(770) 495-1488
Mailing address
3096 PEACHTREE INDUSTRIAL BLVD, DULUTH, GA 30097
(770) 495-1477
(770) 495-1488
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
057679
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
762679427B
—
GA
Enumeration date
10/15/2006
Last updated
08/10/2015
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