Individual
SOMJADE JAY SONGCHAROEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
971 LAKELAND DR STE 315, JACKSON, MS 39216-4607
(601) 414-9530
(601) 206-0153
Mailing address
971 LAKELAND DR STE 315, JACKSON, MS 39216-4607
(601) 414-9530
(601) 206-0153
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
23081
MS
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
23081
MS
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
23081
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00986532
—
MS
Enumeration date
07/06/2011
Last updated
01/01/2026
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