P Praxis·MD
● Active Type 1 · Individual

DR. Hanjoon Mike Song, MD

Plastic Surgery·Duluth, GA· NPI 1063502375 · Enumerated 2006 · 19 years on NPI
Song is 1 of 6 plastic surgery providers in Duluth and 1 of 284 in Georgia.
NPI age
19 years
Enumerated 2006-10-15
Primary specialty
Plastic Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-08-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 284 active plastic surgery providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
3096 Peachtree Industrial Blvd
Duluth, GA 30097
📞 7704951477fax 7704951488
Mailing address
3096 Peachtree Industrial Blvd
Duluth, GA 30097
📞 7704951477fax 7704951488

Specialties

  • Plastic Surgery Primary
    A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external...
    GA license #057679 taxonomy 208200000X

Identifiers

TypeValueNotes
05 (GA) 762679427B

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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