MR. Brian Ronald Song, PA-C
NPI #1215578976 in Clarksville, Tennessee
Provider Information
- NPI Number
- 1215578976
- Entity Type
- Individual
- Name
- MR. Brian Ronald Song, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Oct 3, 2019
- Last Updated
- Sep 11, 2023
Practice Location
- Address
- 980 PROFESSIONAL PARK DR STE E
- City
- Clarksville
- State
- Tennessee
- ZIP Code
- 37040-5251
- Phone
- (615) 355-5510
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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