Sullivan Family Practice, LLC

NPI #1770502981 in Sullivan, Indiana

Provider Information

NPI Number: 1770502981
Entity Type: Organization
Organization Name: Sullivan Family Practice, LLC
Primary Specialty: Family Medicine
Enumeration Date: Jul 19, 2006
Last Updated: Oct 26, 2009

Practice Location

Address: 2229 MARY SHERMAN DR
City: Sullivan
State: Indiana
ZIP Code: 47882-7633
Phone: (812) 268-3318

Authorized Official

Name: MRS. SUSAN LYNN HELMAN
Title: ADMINISTRATOR
Phone: (812) 268-3318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rural Health — Rural Health	261QR1300X
Family Medicine	207Q00000X	Primary

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