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Organization

JAMES S SULLIVAN M.D. PA

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Organization

JAMES S SULLIVAN M.D. PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES S SULLIVAN M.D. (OWNER)
(334) 793-1038
Entity
Organization

Contact information

Practice address
4300 MAIN ST W, SUITE 16, DOTHAN, AL 36301-1098
(334) 793-1038
(334) 615-8444
Mailing address
4300 MAIN ST W, SUITE 16, DOTHAN, AL 36301-1098
(334) 793-1038
(334) 615-8444

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5184
AL

Other

Enumeration date
09/22/2006
Last updated
07/25/2007
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