MANLY JACKSON SULLIVAN

CARROLLTON, AL
NPI1003804352
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: AL  20081)
Enumeration Date2005-10-11
Last Update Date2007-07-09
Business Address
Dr. MANLY JACKSON SULLIVAN MEDICAL DOCTOR
241 ROBERT K WILSON DR
CARROLLTON, AL 35447-8010
Phone number: 205-367-2408
Mailing Address
Dr. MANLY JACKSON SULLIVAN MEDICAL DOCTOR
241 ROBERT K WILSON DR
CARROLLTON, AL 35447-8010
Phone number: 205-367-2408
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