Individual
DR. BARBARA D SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 MARSHALL ST, STE 400, JACKSON, MS 39202-1687
(601) 354-0869
(601) 352-6521
Mailing address
501 MARSHALL ST, STE 400, JACKSON, MS 39202-1687
(601) 354-0869
(601) 352-6521
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13522
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116508
—
MS
Enumeration date
06/26/2006
Last updated
02/11/2014
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