Individual
QILIN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
576 JEFFERSON AVE. MCDONALD ARMY MEDICAL HEALTH CENTER, FORT EUSTIS, VA 23604-5548
(757) 314-7522
Mailing address
576 JEFFERSON AVE, MCDONALD ARMY HEALTH CENTER, FORT EUSTIS, VA 23604-5548
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
2009-01315
NC
Other
Enumeration date
02/18/2009
Last updated
11/30/2022
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