John In-Taek Song in Atlanta - Otolaryngology
John In-Taek Song - NPI 1093808446
John In-Taek Song is a Otolaryngology in Atlanta, Georgia. John In-Taek Song practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for John In-Taek Song is 1093808446. The last update date is 2021-01-12.
John In-Taek Song's current location address is 960 Johnson Ferry Rd Ste 335, Atlanta, Georgia. You can contact this provider via phone number 4042571482 and fax number 4042571483. The mailing address for John In-Taek Song is 960 Johnson Ferry Rd Ste 335, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John In-Taek Song |
|---|---|
| Address | 960 Johnson Ferry Rd Ste 335, Atlanta, Georgia |
| Phone Number | 4042571482 |
| Fax Number | 4042571483 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1093808446 |
|---|---|
| Provider Enumeration Date | 2006-09-30 |
| Last Updated Date | 2021-01-12 |
Provider Mailing Address Detail
| Address | 960 Johnson Ferry Rd Ste 335 |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303421625 |
| Phone Number | 4042571482 |
| Fax Number | 4042571483 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 40893 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 74205579 | CO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John In-Taek Song by the Centers for Medicare & Medicaid Services?
The John In-Taek Song has been assigned the NPI (National Provider Identifier) 1093808446. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the John In-Taek Song's physical address?
The John In-Taek Song is physically located at 960 Johnson Ferry Rd Ste 335, in the city of Atlanta, GA, with the postal code 303421625.
What is John In-Taek Song's specialized field of practice, and what is the corresponding taxonomy classification code?
The John In-Taek Song's area of specialization is Otolaryngology, and the corresponding taxonomy code that categorizes this field of practice is 207Y00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1093808446 to John In-Taek Song?
The Centers for Medicare & Medicaid Services assigned the 1093808446 to John In-Taek Song on 2006-09-30.
As of what date were the details pertaining to John In-Taek Song last refreshed?
The information related to the John In-Taek Song, including its address, specialty, and other relevant details, was last updated on 2021-01-12.
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