| NPI | 1215933346 |
|---|---|
| Doing Business As | SULLIVAN FAMILY MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | HURSIE J DAVIS-SULLIVAN Owner And President 601-373-2940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MS 13888) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2010-11-09 |