Individual
MADISYN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
39 WINDY HILL RD, TAYLOR, AL 36305
(334) 793-8111
Mailing address
105 DAWSON LN, ENTERPRISE, AL 36330-4594
(440) 240-3645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.2405
AL
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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