Henry Paul Sullivant JR., MD

NPI #1407879471 in Memphis, Tennessee

Provider Information

NPI Number: 1407879471
Entity Type: Individual
Name: Henry Paul Sullivant JR., MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Jul 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6215 HUMPHREYS BLVD
Address 2: SUITE 500
City: Memphis
State: Tennessee
ZIP Code: 38120-2367
Phone: (901) 682-0630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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