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DR. WILLIAM LARRY SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4308 TOPAZ CIR SE, DECATUR, AL 35603-5236
(256) 686-1222
Mailing address
4308 TOPAZ CIR SE, DECATUR, AL 35603-5236
(256) 686-1222

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
7344
AL
207Q00000X
Family Medicine Physician
MD.7344
AL

Other

Enumeration date
07/10/2006
Last updated
03/28/2017
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