Individual
DR. FINE SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1821 HILLANDALE RD STE 24B, DURHAM, NC 27705-2671
(919) 383-4355
(919) 383-7694
Mailing address
1821 HILLANDALE RD STE 24B, DURHAM, NC 27705-2671
(919) 383-4355
(919) 383-7694
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2019-01948
NC
207Q00000X
Family Medicine Physician
66753-20
WI
207Q00000X
Family Medicine Physician
A130639
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-1109
MEDICARE
CA
Enumeration date
06/13/2011
Last updated
06/29/2022
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