Individual
ELIZABETH ROSE SULLIVAN-INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9100
Mailing address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9107
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
DO.3826
AL
2080P0205X
Pediatric Endocrinology Physician
Primary
DO.3826
AL
Other
Enumeration date
03/30/2021
Last updated
09/18/2024
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