Whalio Doctors

NPI 1063502375

Hanjoon Mike Song, MD

Practitioner Plastic Surgery Physician Duluth, GA

Practice location

Address
3096 Peachtree Industrial Blvd, Duluth, GA 30097
Phone
(770) 495-1477
Fax
(770) 495-1488

Registered specialties

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 057679 (GA)

Registry record

NPI
1063502375
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Oct 2006
Record last updated
10 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.