Individual
DR. JOSEPH SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, MD
Contact information
Practice address
3855 PLEASANT HILL RD STE 220, DULUTH, GA 30096-8030
(770) 979-9427
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4686
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
83055
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014018120
MISSOURI LICENSE NUMBER
MO
Enumeration date
06/12/2014
Last updated
05/17/2019
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