John Magruder Sullivan III, MD
Plastic and Reconstructive Surgery Physician · Jackson, MS
Practice location
2500 N State StJackson, MS 39216-4500
- Phone
- (601) 984-1000
NPI record
- NPI
- 1043872948
- Entity type
- Individual (Type 1)
- Enumeration date
- July 1, 2019
- Last updated
- July 1, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X |
T-3879 | MS |
Mailing address
37 Enclave CirRidgeland, MS 39157-4522
- Phone
- (601) 953-3304
About Dr. Sullivan
John Magruder Sullivan III, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Plastic and Reconstructive Surgery Physician (code 2086S0122X). The practice location is 2500 N State St, Jackson, MS 39216-4500. The NPI number 1043872948 was assigned on July 1, 2019 and the record was last updated on July 1, 2019.
Dr. Sullivan lists a license in the registry: #T-3879 (MS) for Plastic and Reconstructive Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of John Magruder Sullivan III, MD?
The NPI number is 1043872948.
What is the phone number of Dr. Sullivan?
The phone number listed for the practice location is (601) 984-1000.
Where is Dr. Sullivan located?
2500 N State St, Jackson, MS 39216-4500.
What is the taxonomy code for Dr. Sullivan?
The primary taxonomy code is 2086S0122X – Plastic and Reconstructive Surgery Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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