Individual provider · Type 1 NPI

John Magruder Sullivan Iii, MD

Plastic and Reconstructive Surgery Physician · Jackson, MS

NPI number 1043872948 Active

Practice location

2500 N State St
Jackson, MS 39216-4500

Call (601) 984-1000 Map

Mailing address

37 Enclave Cir
Ridgeland, MS 39157-4522

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122XT-3879 (MS)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1043872948

John Magruder Sullivan Iii, MD's National Provider Identifier is 1043872948, issued on Jul 1, 2019. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Jackson, MS. The record was last updated on Jul 1, 2019.