Healthcare Provider Details

I. General information

NPI: 1306810718
Provider Name (Legal Business Name): JOHN W SONFIELD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 02/18/2021
Certification Date: 02/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E CHEVES ST STE 260
FLORENCE SC
29506-2652
US

IV. Provider business mailing address

PO BOX 3239
FLORENCE SC
29502-3239
US

V. Phone/Fax

Practice location:
  • Phone: 843-665-7941
  • Fax: 843-665-1257
Mailing address:
  • Phone: 843-665-7941
  • Fax: 843-665-1257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number24650
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: