Organization
SULLIVAN MEDICAL, LLC
Active
Other names
MADISON PRIMARY CARE AND WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARY P SULLIVAN D.O. (PHYSICIAN)
(256) 830-6667
Entity
Organization
Contact information
Practice address
1874 SLAUGHTER RD STE P, MADISON, AL 35758-5912
(256) 830-6667
(256) 830-5751
Mailing address
PO BOX 1768, MADISON, AL 35758-5409
(256) 830-6667
(256) 830-5751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO832
AL
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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