Dr Yohan Song, MD | |
1360 Upper Hembree Rd Ste 101, Roswell, GA 30076-1230 | |
(770) 225-1874 | |
(678) 254-0618 |
Full Name | Dr Yohan Song |
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Gender | Male |
Speciality | Otolaryngology |
Location | 1360 Upper Hembree Rd Ste 101, Roswell, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1295122265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Y00000X | Otolaryngology | 282986 (Massachusetts) | Secondary |
207Y00000X | Otolaryngology | 90653 (Georgia) | Primary |
Entity Name | Georgia Surgical Professional Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801224506 PECOS PAC ID: 3375774011 Enrollment ID: O20140324000595 |
Mailing Address | Practice Location Address |
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Dr Yohan Song, MD 1360 Upper Hembree Rd Ste 101, Roswell, GA 30076-1230 Ph: (770) 225-1874 | Dr Yohan Song, MD 1360 Upper Hembree Rd Ste 101, Roswell, GA 30076-1230 Ph: (770) 225-1874 |
Vivek V. Gurudutt, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1360 Upper Hembree Rd, Suite 201b, Roswell, GA 30076 Phone: 770-475-3361 Fax: 770-664-4431 | |
Dr. Andrew Diamond, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076 Phone: 770-475-3361 Fax: 770-664-4431 | |
Sunny Singh Khichi, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2500 Hospital Boulevard, Suite 450, Roswell, GA 30076 Phone: 770-343-8675 Fax: 770-343-6297 | |
Dr. Jennifer L. Tirino, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1360 Upper Hembree Rd, Suite 101, Roswell, GA 30076 Phone: 770-457-3361 Fax: 770-664-4431 | |
Dr. Keith Jackson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1360 Upper Hembree Rd Ste 201b, Roswell, GA 30076 Phone: 770-475-3361 | |
Fiyin Sokoya, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1360 Upper Hembree Rd Ste 201b, Roswell, GA 30076 Phone: 770-475-3361 |