Individual
DR. JOHN ALVAR SUNDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HOSPITAL AVE, SUITE 5, JEFFERSON, NC 28640-9244
(336) 846-8939
(336) 846-8370
Mailing address
200 HOSPITAL AVE, SUITE 5, JEFFERSON, NC 28640-9244
(336) 846-8939
(336) 846-8370
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
200601912
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144U3
BCBS NC
NC
01
—
208394325
TRICARE
NC
01
—
56162
MEDCOST
NC
05
—
5906217
—
NC
01
—
7698911
CIGNA HEALTHCARE
NC
01
—
809370
PARTNERS MC
NC
Enumeration date
08/31/2006
Last updated
10/18/2007
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