Search › South Carolina › 207P00000X
Jack Sudduth, MD, MS
NPI 1215632898 · on the registry since 2023 · sole proprietor
Practice
- Address
- 169 Ashley Ave Rm 202
Charleston, SC 29425 - Phone
- (843) 876-6983
- Organisation at this address
- Musc
Carolina Family Care
University Medical Associates
Medical University Of South Carolina
Medical University Of South CarolinaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 993
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207LC0200X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina