Individual provider · Type 1 NPI

Jaisiri Jaiwatana, MD

Specialist · Jackson, MS

NPI number 1295760049 Active

Practice location

1500 E. Woodrow Wilson Drive
Jackson, MS 39216-5199

Call (601) 362-4471 Map

Fax (601) 364-1588

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD9250 (DC)

Specialist: 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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About NPI 1295760049

Jaisiri Jaiwatana, MD's National Provider Identifier is 1295760049, issued on Jul 11, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jackson, MS. The record was last updated on Jul 8, 2007.