| NPI | 1447148317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOMJADE JAY SONGCHAROEN President 601-918-2995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 2086S0105X Surgery Surgery of the Hand |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-06-27 |