Basic Information
| Provider Information | |||||||||
| NPI: | 1295943868 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAPPINGTON | ||||||||
| FirstName: | JOHN | ||||||||
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| Credential: | MD,LCAS,MAC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8404 CASPER MOUNTAIN RD | ||||||||
| Address2: | |||||||||
| City: | CASPER | ||||||||
| State: | WY | ||||||||
| PostalCode: | 826019700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3072512330 | ||||||||
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| Practice Location | |||||||||
| Address1: | 356 CHARLOTTE RD | ||||||||
| Address2: | |||||||||
| City: | RUTHERFORDTON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 281392916 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282877945 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/18/2007 | ||||||||
| LastUpdateDate: | 11/30/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 4301088849 | MI | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | 101YA0400X | LCAS-20795 | NC | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No ID Information.