Individual
SUSAN SULLIVAN GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
400 REBEL DRIVE, UNIVERSITY, MS 38677
(662) 915-7274
(662) 915-5292
Mailing address
3625 LYLES DR, OXFORD, MS 38655-5708
(662) 513-4599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13564
MS
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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