Individual
MR. BRIAN RONALD SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
980 PROFESSIONAL PARK DR STE E, CLARKSVILLE, TN 37040-5251
(615) 355-5510
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
09/11/2023
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