Timmany Sullivan

NPI #1164508172 in Mobile, Alabama

Provider Information

NPI Number: 1164508172
Entity Type: Individual
Name: Timmany Sullivan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Oct 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 8501 TANNER WILLIAMS RD
City: Mobile
State: Alabama
ZIP Code: 36608-8322
Phone: (251) 441-6725

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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