Individual
DAN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 10TH AVE STE 100, COLUMBUS, GA 31901-3601
(706) 571-1430
Mailing address
2765 PORTABELLA LN, CUMMING, GA 30041-7425
(678) 687-1733
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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