Song, Hanjoon Mike
Song, Hanjoon Mike is an individual health care provider with primary practice located at 3096 Peachtree Industrial Blvd , Duluth GA 30097. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Song, Hanjoon Mike can be contacted via phone (770) 495-1477.Contact Information
Primary practice address
3096 Peachtree Industrial Blvd
Duluth GA 30097
Phone: (770) 495-1477
Fax: (770) 495-1488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 057679 | Georgia |
Profile Details
| NPI number | 1063502375 |
|---|---|
| LBN Legal business name | Song, Hanjoon Mike |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2006 |
| Last updated | Aug 10th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063502375 | NPPES |
| Georgia | MEDICAID | 762679427B |
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