NPI 1063502375
Hanjoon Mike Song, MD
Practice location
- Address
- 3096 Peachtree Industrial Blvd, Duluth, GA 30097
- Phone
- (770) 495-1477
- Fax
- (770) 495-1488
Registered specialties
Plastic Surgery Physician
Primary
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.