Individual
DR. SAMUEL H SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3435 DULUTH PARK LN, SUITE A, DULUTH, GA 30096-3259
(678) 417-0407
(678) 417-2008
Mailing address
3435 DULUTH PARK LN, SUITE A, DULUTH, GA 30096-3259
(678) 417-0407
(678) 417-2008
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
049206
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000892207C
—
GA
Enumeration date
07/05/2005
Last updated
09/30/2011
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