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DR. JOHN CARROLL SANDEFUR M.D. NPI 1902153620


NPI Information

NPI: 1902153620
Provider Name: DR. JOHN CARROLL SANDEFUR, M.D.
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
313 ARNOLD AVE
SUITE A
GREENVILLE, MS
ZIP 38701
Phone: (662) 332-5151
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DR. John Carroll Sandefur, M.D. is a surgery in Greenville, MS. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. John Carroll Sandefur, M.D. NPI is 1902153620. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

313 ARNOLD AVE
SUITE A
GREENVILLE, MS
ZIP 38701-712
Phone: (662) 332-5151
Fax: (662) 332-5152

The enumeration date for this NPI number is 8/13/2012 and was last updated on 8/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery03945MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B31120MEDICARE UPINMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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