Search › Georgia › 1041C0700X
Da Song
NPI 1295319572 · on the registry since 2021
Practice
- Address
- 10892 Crabapple Rd Ste 202
Roswell, GA 30075 - Phone
- (404) 890-0459
- Fax
- (404) 636-7449
- Clinicians at this address
- 2
Additional practice sites
- 750 Glenwood Ave Se Ste 200, Atlanta, GA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia