Sullivan Medical, LLC

NPI #1811145758 in Madison, Alabama

Provider Information

NPI Number: 1811145758
Entity Type: Organization
Organization Name: Sullivan Medical, LLC
Primary Specialty: Family Medicine
Enumeration Date: Sep 4, 2008
Last Updated: Sep 4, 2008

Practice Location

Address: 1874 SLAUGHTER RD STE P
City: Madison
State: Alabama
ZIP Code: 35758-5912
Phone: (256) 830-6667

Authorized Official

Name: MARY P SULLIVAN, D.O.
Title: PHYSICIAN
Phone: (256) 830-6667

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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