Individual
YOUNG H SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5605 GLENRIDGE DR, #600, ATLANTA, GA 30342
(770) 433-5878
(404) 257-0299
Mailing address
575 GLENGATE COVE, ATLANTA, GA 30328
(404) 339-4042
(404) 257-0299
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16489
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00295765B
—
GA
Enumeration date
07/17/2006
Last updated
07/08/2007
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