Doctor Name: | DR. YOUNG SUG SONG |
NPI Number: | 1770569105 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 20958 |
Business Practice Address: | 1221 Chersonese Round Mount Pleasant, SC - 294649545 |
Business Phone Number: | 8434468139 |
Business Fax Number: | |
Mailing Address: | 1221 Chersonese Round, MOUNT PLEASANT |
State: | SC |
Postal Code: | 294649545 |
Phone Number: | 8434468139 |
Fax Number: | |
NPI Enumeration Date: | 12/18/2005 |
NPI Last Update Date: | 12/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 20958 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |