Individual
DR. SOOL KEE SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2730 PEACHTREE INDUSTRIAL BLVD STE 101, DULUTH, GA 30097-8627
(404) 548-8850
Mailing address
2730 PEACHTREE INDUSTRIAL BLVD STE 101, DULUTH, GA 30097-8627
(404) 897-0684
(404) 897-0729
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7612
GA
207QA0000X
Adolescent Medicine (Family Medicine) Physician
80798
GA
207QA0505X
Adult Medicine Physician
80798
GA
Other
Enumeration date
06/22/2015
Last updated
08/21/2024
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