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Dr. Suthin Songcharoen, MD
Specialist in Flowood, Mississippi
NPI 1255329371

Suthin Songcharoen is a Specialist based in Madison, MS. Suthin Songcharoen practices in Flowood, MS and has the professional credentials of MD. The NPI Number for Suthin Songcharoen is 1255329371 and holds a License No. 07163 (Mississippi).

The current practice location address for Suthin Songcharoen is 2550 Flowood Dr, Flowood, MS and can be reached out via phone at 601-420-0034 and via fax at 601-420-5482.

Location: 2550 Flowood Dr, Flowood, MS, 39110-9749
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255329371
Provider Name
Suthin Songcharoen
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2550 Flowood Dr, Flowood, MS, 39110-9749
Phone Number
601-420-0034
Fax Number
601-420-5482
Provider Enumeration Date
10/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CK7048 01 MEDICARE RAILROAD GROUP
00119405 05 MS
C03036 01 MEDICARE PTAN
660002223 01 MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
2550 Flowood Dr
City
Flowood
State
Mississippi
Zip
39232-9303
Phone Number
601-420-0034
Fax Number
601-420-5482
person
Provider Business Mailing Address Details
Address
2550 Flowood Dr
City
Flowood
State
Mississippi
Zip
39232-9303
Phone Number
601-420-0034
Fax Number
601-420-5482
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
07163 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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