Organization
JOHN A SUNDIN MD ENDOSCOPY UNIT
Active
Other names
John A Sundin MD
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A SUNDIN MD (OWNER)
(336) 846-8939
Entity
Organization
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
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
200601912
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56162
MEDCOST
NC
Enumeration date
12/09/2008
Last updated
12/09/2008
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