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Contact Information

JE SONG, MD
19424 SAUCIER LIZANA RD
SAUCIER, MS39574-9667
 Phone: 228-206-2681
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Surgery

208600000X 02 Physician/General Surgery
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JE SONG · (Male)

NPI Number 1568509099
Status Active
Credentials MD
Entity Individual
Enumeration date 02/01/2007
Last updated 01/19/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 17284
  • MS Medicaid 04906363
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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