Manchester Surgical Assoc
NPI #1205912102 in Manchester, Tennessee
Provider Information
- NPI Number
- 1205912102
- Entity Type
- Organization
- Organization Name
- Manchester Surgical Assoc
- Primary Specialty
- Surgery
- Enumeration Date
- Oct 31, 2006
- Last Updated
- Aug 27, 2008
Practice Location
- Address
- 1239 MCARTHUR DRIVE
- City
- Manchester
- State
- Tennessee
- ZIP Code
- 37355-2423
- Phone
- (931) 728-5879
Authorized Official
- Name
- DR. J DAVID SULLIVAN, DO
- Title
- GENERAL SURGEON
- Phone
- (931) 728-5879
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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