Individual
DR. SHIYI JEFFREY SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3075 US ROUTE 60 STE D250, HUNTINGTON, WV 25705-8859
(304) 528-4600
Mailing address
3075 US ROUTE 60, HUNTINGTON, WV 25705-8859
(304) 528-4600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32394
WV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
32394
WV
207RN0300X
Nephrology Physician
Primary
32394
WV
Other
Enumeration date
08/19/2013
Last updated
05/01/2025
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