Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jack Douglas Sudduth, MD, MS

Individual provider Critical Care Medicine (Anesthesiology) Physician · NPI 1215632898

Jack Douglas Sudduth, MD, MS is a Critical Care Medicine (Anesthesiology) Physician in Charleston, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

169 Ashley Ave Rm 202
Charleston, SC 29425-8905
Phone: (843) 876-6983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Anesthesiology) Physician (primary) Taxonomy 207LC0200X · Licence 97057 (SC)

Record details

NPI number1215632898
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MS
Sole proprietorYes
NPI enumeratedApril 3, 2023
Last updated in NPPESAugust 1, 2026
Certification dateAugust 1, 2026

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