MEDICARE: DR. JOHN B SPERRY JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	9368	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730137142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN B SPERRY JR. M.D.

Provider Business Mailing Address
First Line	:	198 RUTLEDGE AVE
Second Line	:	SUITE 1
City	:	CHARLESTON
State	:	SC
Zip	:	29403-5817
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	198 RUTLEDGE AVE
Second Line	:	SUITE 1
City	:	CHARLESTON
State	:	SC
Zip	:	29403-5817
Country	:	US
Telephone Number	:	843-723-0855
Fax Number	:	843-723-1307

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	08/13/2007

Similar Medicare Providers

1003814690 — CHRISTINE LLOYD MD
Practice Location Address:

198 RUTLEDGE AVE
CHARLESTON, SC
29403-5817

Practice Phone: 843-577-5012
Practice Fax: 843-722-8368

1407857428 — DR. COURTNEY W SHELBOURNE DMD
Practice Location Address:

198 RUTLEDGE AVE , SUITE 4
CHARLESTON, SC
29403-5817

Practice Phone: 843-853-5859
Practice Fax: 843-853-5861

1669430724 — DR. THOMAS GODFREY QUATTLEBAUM M.D.
Practice Location Address:

198 RUTLEDGE AVE , SUITE 1
CHARLESTON, SC
29403-5817

Practice Phone: 843-723-0855
Practice Fax: 843-723-1307

1033177480 — DR. ROBERT DAVIS STAPLETON M.D.
Practice Location Address:

198 RUTLEDGE AVE , SUITE 1
CHARLESTON, SC
29403-5817

Practice Phone: 843-723-0855
Practice Fax: 843-723-1307

1013965474 — CHARLESTON PEDIATRICS
Practice Location Address:

198 RUTLEDGE AVE , SUITE 1
CHARLESTON, SC
29403-5817

Practice Phone: 843-723-0855
Practice Fax: 843-723-1307

1710005574 — MARLA T MCMAHON DMD LLC
Practice Location Address:

198 RUTLEDGE AVE , #3
CHARLESTON, SC
29403-5817

Practice Phone: 843-723-5405
Practice Fax:

Directions to “ DR. JOHN B SPERRY JR. M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.