NPI 1043872948

John Magruder Sullivan, MD

Practitioner Plastic and Reconstructive Surgery Physician Jackson, MS

Practice location

Address: 2500 N State St, Jackson, MS 39216-4500
Phone: (601) 984-1000
Mailing address: 37 Enclave Cir, Ridgeland, MS 39157-4522

Registered specialties

Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence T-3879 (MS)

Other Surgery providers in Mississippi →

Registry record

NPI: 1043872948
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2019
Record last updated: 1 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.