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Individual

DR. WILLIAM H SULLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
210 BOB WALLACE AVE SW, HUNTSVILLE, AL 35801-3809
(256) 539-3454
(256) 539-3478
Mailing address
210 BOB WALLACE AVE SW, HUNTSVILLE, AL 35801-3809
(256) 539-3454
(256) 539-3478

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S384TA085
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S384TA085
STATE LICENSE
AL
Enumeration date
10/04/2005
Last updated
02/20/2008
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