Individual provider · Type 1 NPI

Thunyaluck Jiwanarom, MD

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1104731256 Active

Practice location

1364 Clifton Road
Atlanta, GA 30322

Call (404) 778-3324 Map

Mailing address

Department Of Ophthalmology, Faculty Of Medicine, 110 Intawarorot Road, Suthep Subdistrict
Mueang Chiang Mai District, CHIANG MAI 50200

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5 other providers at this address

Other student in an organized health care education/training program providers in Atlanta

See all in Atlanta →

About NPI 1104731256

Thunyaluck Jiwanarom, MD's National Provider Identifier is 1104731256, issued on Aug 14, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on Aug 14, 2026.