MARK SULLIVAN

JACKSON, MS
NPI1134752371
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  901618)
Enumeration Date2020-02-17
Last Update Date2020-02-17
Business Address
MARK SULLIVAN
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000
Mailing Address
MARK SULLIVAN
147 BELLE POINTE
MADISON, MS 39110-8287
Phone number:
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