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Organization

NEW GYN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONG KYU SONG M.D. (DOCTOR)
(770) 670-6551
Entity
Organization

Contact information

Practice address
3840 PEACHTREE INDUSTRIAL BLVD, 275, DULUTH, GA 30096-5031
(770) 670-6551
(770) 670-6507
Mailing address
3840 PEACHTREE INDUSTRIAL BLVD., 275, DULUTH, GA 30096
(770) 670-6551
(770) 670-6507

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
015637
GA

Other

Enumeration date
12/15/2010
Last updated
12/15/2010
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