Individual
JINHYUK AUGUSTINE SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ATRIUM HEALTH WAKE FOREST BAPTIST DEPT OF PSYCHIATRY M, WINSTON SALEM, NC 27157-1087
(336) 716-4551
Mailing address
ATRIUM HEALTH WAKE FOREST BAPTIST DEPT OF PSYCHIATRY M, WINSTON SALEM, NC 27157-1087
(336) 716-4551
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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