Jaisiri Jaiwatana, M.D.
NPI #1295760049 in Jackson, Mississippi
Provider Information
- NPI Number
- 1295760049
- Entity Type
- Individual
- Name
- Jaisiri Jaiwatana, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- M.D.
- Enumeration Date
- Jul 11, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1500 E. WOODROW WILSON DRIVE
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-5199
- Phone
- (601) 362-4471
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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