Song, David H
Song, David H is an individual health care provider with primary practice located at 1468 Montreal Road , Tucker GA 30084-6902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Song, David H can be contacted via phone (770) 638-1400.Contact Information
Primary practice address
1468 Montreal Road
Tucker GA 30084-6902
Phone: (770) 638-1400
Fax: (770) 638-1411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 045340 | Georgia |
Profile Details
| NPI number | 1174619100 |
|---|---|
| LBN Legal business name | Song, David H |
| Credentials | MD FACE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Feb 22nd, 2010 - about 14 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 | 1174619100 | NPPES |
| Georgia | MEDICAID | 0078548513 |
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