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1811145758
SULLIVAN MEDICAL, LLC
MADISON, AL
NPI
1811145758
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Entity Type
Organization
Authorized Contact
MARY P SULLIVAN
Physician
256-830-6667
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AL DO832)
Enumeration Date
2008-09-04
Last Update Date
2008-09-04
Business Address
SULLIVAN MEDICAL, LLC
1874 SLAUGHTER RD STE P
MADISON, AL 35758-5912
Phone number: 256-830-6667
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Mailing Address
SULLIVAN MEDICAL, LLC
PO BOX 1768
MADISON, AL 35758-5409
Phone number: 256-830-6667
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