Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Hanjoon Mike Song, MD

Individual provider Plastic Surgery Physician · NPI 1063502375

Dr. Hanjoon Mike Song, MD is a Plastic and Reconstructive Surgery in Duluth, Georgia. Graduated from Emory University School of Medicine in 1999, 27 years ago. Practices with Prima Center for Plastic Surgery PC, a 3-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
27
Trained at
Emory University School of Medicine
Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3096 Peachtree Industrial Blvd
Duluth, GA 30097
Phone: (770) 495-1477
Fax: (770) 495-1488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 057679 (GA)

Record details

NPI number1063502375
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 15, 2006
Last updated in NPPESAugust 10, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Prima Center For Plastic Surgery Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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