Provider Demographics
NPI:1942972039
Name:SUNSHINE MEDICAL CARE INC
Entity Type:Organization
Organization Name:SUNSHINE MEDICAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALLYSON
Authorized Official - Middle Name:
Authorized Official - Last Name:ANYANWU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:731-659-0240
Mailing Address - Street 1:504 N HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38301-4825
Mailing Address - Country:US
Mailing Address - Phone:731-574-9111
Mailing Address - Fax:731-574-9999
Practice Address - Street 1:504 N HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301-4825
Practice Address - Country:US
Practice Address - Phone:731-574-9111
Practice Address - Fax:731-574-9999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1285686618OtherINDIVIDUAL NPI