Hanjoon Mike Song in Duluth - Plastic Surgery
Hanjoon Mike Song - NPI 1063502375
Hanjoon Mike Song is a Plastic Surgery in Duluth, Georgia. Hanjoon Mike Song practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Hanjoon Mike Song is 1063502375. The last update date is 2015-08-10.
Hanjoon Mike Song's current location address is 3096 Peachtree Industrial Blvd, Duluth, Georgia. You can contact this provider via phone number 7704951477 and fax number 7704951488. The mailing address for Hanjoon Mike Song is 3096 Peachtree Industrial Blvd, Duluth, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Hanjoon Mike Song |
|---|---|
| Address | 3096 Peachtree Industrial Blvd, Duluth, Georgia |
| Phone Number | 7704951477 |
| Fax Number | 7704951488 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063502375 |
|---|---|
| Provider Enumeration Date | 2006-10-15 |
| Last Updated Date | 2015-08-10 |
Provider Mailing Address Detail
| Address | 3096 Peachtree Industrial Blvd |
|---|---|
| City | Duluth |
| State | Georgia (GA) |
| Post Code | 30097 |
| Phone Number | 7704951477 |
| Fax Number | 7704951488 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | 57679 |
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Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 762679427B | GA | -- |
Post Comment/ Review Below
What is the Hanjoon Mike Song's unique identification number?
The Hanjoon Mike Song has been assigned the NPI (National Provider Identifier) Number 1063502375 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Hanjoon Mike Song is physically located?
The Hanjoon Mike Song is physically situated at the following address: 3096 Peachtree Industrial Blvd, Duluth, GA, 30097.
What is Hanjoon Mike Song's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Hanjoon Mike Song's specialized field of practice is Plastic Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208200000X.
On what date was the 1063502375 assigned to Hanjoon Mike Song?
The Hanjoon Mike Song was issued its 1063502375 on 2006-10-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Hanjoon Mike Song most recently updated or refreshed?
The details pertaining to the Hanjoon Mike Song, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-08-10.