S Songcharoen Md, Facs, Pllc in Jackson - Plastic And Reconstructive Surgery

S Songcharoen Md, Facs, Pllc - NPI 1215100599

S Songcharoen Md, Facs, Pllc is a Plastic And Reconstructive Surgery in Jackson, Mississippi. S Songcharoen Md, Facs, Pllc practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for S Songcharoen Md, Facs, Pllc is 1215100599. The last update date is 2008-10-08.

S Songcharoen Md, Facs, Pllc's current location address is 971 Lakeland Dr, Jackson, Mississippi. You can contact this provider via phone number 6019812525 and fax number 6019813152. The mailing address for S Songcharoen Md, Facs, Pllc is 971 Lakeland Dr, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization S Songcharoen Md, Facs, Pllc
Address 971 Lakeland Dr, Jackson, Mississippi
Phone Number 6019812525
Fax Number 6019813152
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Songcharoen Songcharoen
Credentials MD
Telephone Number 6019812525

NPI Number Detail

NPI Number 1215100599
Provider Enumeration Date 2008-04-08
Last Updated Date 2008-10-08

Provider Mailing Address Detail

Address 971 Lakeland Dr
City Jackson
State Mississippi (MS)
Post Code 392164643
Phone Number 6019812525
Fax Number 6019813152

Provider's Primary Taxonomy Detail

Speciality Plastic And Reconstructive Surgery
Taxonomy 2086S0122X
Definition:
A surgeon who specializes in plastic and reconstructive surgery.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
240007802 MS RR MEDICARE
15584 MS --
1689615486 MS NPI INDIVIDUAL NUMBER
371563401F MS BCBS OF MS

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FAQs about S Songcharoen Md, Facs, Pllc

What is the unique identifier code issued to S Songcharoen Md, Facs, Pllc by the Centers for Medicare & Medicaid Services?

The S Songcharoen Md, Facs, Pllc has been assigned the NPI (National Provider Identifier) 1215100599. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of S Songcharoen Md, Facs, Pllc?

The S Songcharoen Md, Facs, Pllc is situated at 971 Lakeland Dr, in the city of Jackson, state of MS, with the zip code 392164643.

What is S Songcharoen Md, Facs, Pllc's specialized field of practice, and what is the corresponding taxonomy classification code?

The S Songcharoen Md, Facs, Pllc's area of specialization is Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0122X.

On what date did the S Songcharoen Md, Facs, Pllc receive the assignment of its 1215100599 from the Centers for Medicare & Medicaid Services?

The S Songcharoen Md, Facs, Pllc was issued its 1215100599 by the Centers for Medicare & Medicaid Services on 2008-04-08.

As of what date were the details pertaining to S Songcharoen Md, Facs, Pllc last refreshed?

The information related to the S Songcharoen Md, Facs, Pllc, including its address, specialty, and other relevant details, was last updated on 2008-10-08.

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