Provider Demographics
NPI:1447148317
Name:APEX MEDICAL, PLLC
Entity type:Organization
Organization Name:APEX MEDICAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SOMJADE
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:SONGCHAROEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:601-918-2995
Mailing Address - Street 1:971 LAKELAND DR STE 315
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4607
Mailing Address - Country:US
Mailing Address - Phone:601-918-2995
Mailing Address - Fax:
Practice Address - Street 1:971 LAKELAND DR STE 315
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4607
Practice Address - Country:US
Practice Address - Phone:601-918-2995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand