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NPI Verification

National Provider Identifier: 1164430419

John Woody Sistrunk, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Practice Address

971 LAKELAND DR

SUITE 353

JACKSON, MS 392164643

Phone: 601-949-6990

NPI Enumeration Date

August 3, 2006

NPI Number

1164430419

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry