MEDICARE: HYUNJEONG SON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RPH034473	GA

General Provider Information

NPI Number	:	1740063924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HYUNJEONG SON

Provider Business Mailing Address
First Line	:	4279 ROSWELL RD NE STE 300
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-3769
Country	:	US
Telephone Number	:	404-843-4358
Fax Number	:

Provider Business Practice Location Address
First Line	:	4279 ROSWELL RD NE STE 300
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-3769
Country	:	US
Telephone Number	:	404-843-4358
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2023
Last Update Date	:	09/25/2025

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Directions to “ HYUNJEONG SON ” Practice Location

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