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1912104159
HURSIE J DAVIS-SULLIVAN
JACKSON, MS
NPI
1912104159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MS 13888)
Enumeration Date
2007-06-29
Last Update Date
2013-07-11
Business Address
Dr. HURSIE J DAVIS-SULLIVAN M.D.
1814 HOSPITAL DR
JACKSON, MS 39204-3410
Phone number: 601-373-2940
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Mailing Address
Dr. HURSIE J DAVIS-SULLIVAN M.D.
PO BOX 55869
JACKSON, MS 39296-5869
Phone number: 601-373-2940
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