Organization
ARTHRITIS CARE OF THE EASTERN SHORE, LLC
Active
Organization
ARTHRITIS CARE OF THE EASTERN SHORE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM F SULLIVAN M.D. (OWNER)
(251) 928-8804
Entity
Organization
Contact information
Practice address
3 MEDICAL PARK, FAIRHOPE, AL 36532-1804
(251) 928-8804
(251) 929-3067
Mailing address
3 MEDICAL PARK, FAIRHOPE, AL 36532-1804
(251) 928-8804
(251) 929-3067
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
12259
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000023997
—
AL
Enumeration date
09/15/2011
Last updated
09/15/2011
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