Individual
DR. RHONDA KAYE SULLIVAN-FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2506 LAKELAND DR STE 600, FLOWOOD, MS 39232-7640
(601) 939-1600
(601) 939-1606
Mailing address
2506 LAKELAND DR STE 600, FLOWOOD, MS 39232-7640
(601) 939-1600
(601) 939-1606
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
14822
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116938
—
MS
01
—
14822
MISSISSIPPI LICENSE
MS
01
—
24904
TENNESSEE LICENSE
TN
Enumeration date
09/26/2006
Last updated
09/20/2019
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