Individual
DR. HYO JIN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1505 NORTHSIDE BLVD STE 3600, CUMMING, GA 30041-8245
(770) 343-8565
(770) 781-3559
Mailing address
8700 BEVERLY BLVD # B112, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5161
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
83299
GA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
83299
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/09/2011
Last updated
02/26/2021
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