Individual
EDWARD ALLEN SULLIVAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
21618
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051550443
—
AL
01
—
51518308
BLUE CROSS/BLUE SHIELD
AL
01
—
51550443
BLUE CROSS/BLUE SHIELD
AL
Enumeration date
04/11/2006
Last updated
06/11/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us