Song, Samuel H

Song, Samuel H is an individual health care provider with primary practice located at 3435 Duluth Park Ln Suite A, Duluth GA 30096-3259. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Song, Samuel H can be contacted via phone (678) 417-0407.

Contact Information

Primary practice address
3435 Duluth Park Ln Suite A Duluth GA 30096-3259
Fax: (678) 417-2008
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 049206 Georgia

Profile Details

NPI number 1598762627
LBN Legal business name Song, Samuel H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Sep 30th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598762627 NPPES
Georgia MEDICAID 000892207C

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