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Contact Information

JOHN I SONG, MD
960 JOHNSON FERRY RD STE 335
ATLANTA, GA30342-1625
 Phone: 404-257-1482
 Fax: 404-257-1483
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for JOHN I SONG · (Male)

NPI # 1093808446
Status Active
Credentials MD
Entity Individual
Enumeration date 09/30/2006
Last updated 01/12/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 40893
  • GA License # 87662
  • CO Medicaid 74205579
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL CHEROKEE - (Acute Care)
    201 HOSPITAL ROAD
    CANTON, GA 30114
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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