DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOHN MAGRUDER SULLIVAN III, MD

Active

DR. JOHN MAGRUDER SULLIVAN III, MD is a Plastic and Reconstructive Surgery healthcare provider located in JACKSON, Mississippi. NPI 1043872948 is currently active in the NPPES registry. Verify at CMS.

Plastic and Reconstructive Surgery · JACKSON, MS

Registration Details

NPI Number
1043872948
Provider Type
Individual
Gender
Male
NPI Issued
Jul 1, 2019 (7.1338650902466 yrs)
Last Updated
Jul 1, 2019
License
T-3879 (MS)

Practice Information

Address
2500 N STATE ST
JACKSON, MS, 392164500
Browse MS providers · Browse ZIP 39216
Phone
6019841000
Primary Specialty
Plastic and Reconstructive Surgery
2086S0122X

Other Plastic and Reconstructive Surgery Providers in JACKSON, MS

Name Credential NPI
GEORGE ELI HOWELL II MD 1699730150
DR. DOUGLAS EDWARD GORMAN JR. M.D. 1699856419
BENJAMIN C. MCINTYRE M.D. 1407067705
DR. HUGO PALACIOS VAZQUEZ MD 1780994509
SOMJADE JAY SONGCHAROEN MD 1255628517
MICHAEL LEBHAR MD 1871128223
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.