John In-Taek Song, MD
John In-Taek Song, MD is an Otolaryngology in Atlanta, Georgia. Graduated from New York University School of Medicine in 1991, 35 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group and accepts Medicare assignment. Licensed in Colorado and Georgia.
- Years since qualifying
- 35
- Trained at
- New York University School of Medicine
- Licensed in
- CO, GA
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
960 Johnson Ferry Rd Ste 335Atlanta, GA 30342-1625
Phone: (404) 257-1482
Fax: (404) 257-1483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X · Licence 87662 (GA) |
|---|---|
| Otolaryngology Physician | Taxonomy 207Y00000X · Licence 40893 (CO) |
Record details
| NPI number | 1093808446 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | September 30, 2006 |
| Last updated in NPPES | January 12, 2021 |
| Certification date | January 12, 2021 |
Medicare enrollment
| Medicare specialty | OTOLARYNGOLOGY |
|---|---|
| Medical school | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1991 (35 years in practice) |
| Group practice | Northside Surgical Professional Services Llc — 368 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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