Individual
DR. DAVID INKUN SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4085 MALLORY LN, SUITE 106, FRANKLIN, TN 37067-8290
(615) 778-0760
(615) 778-0786
Mailing address
4085 MALLORY LN, SUITE 106, FRANKLIN, TN 37067-8290
(615) 778-0760
(615) 778-0786
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM508
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3812995
—
TN
01
—
4026804
BLUE CROSS BLUE SHIELD
TN
01
—
4671140001
DME MAC
TN
Enumeration date
08/31/2006
Last updated
04/14/2008
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