Individual
TIMMANY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8501 TANNER WILLIAMS RD, MOBILE, AL 36608-8322
(251) 441-6725
(251) 441-6415
Mailing address
900 DOWNTOWNER BLVD APT 73, MOBILE, AL 36609
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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