Individual
DR. JOHN JOSEPH SHEEHAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF DIGESTIVE DISEASE, JACKSON, MS 39216-4500
(601) 984-4540
(601) 984-4548
Mailing address
2500 NORTH STATE STREET, DIVISION OF GASTROENTEROLOGY, JACKSON, MS 39216-4500
(601) 984-4540
(601) 984-4548
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
05144R
LA
207RG0100X
Gastroenterology Physician
Primary
17272
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03106560
—
MS
05
—
1303364
—
LA
01
—
5M315
P-TAN
MS
Enumeration date
06/21/2005
Last updated
04/09/2014
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