NPI 1083714042

James S Sullivan M.D. PA

Organisation Family Medicine Physician Dothan, AL

Practice location

Address: 4300 Main St W Suite 16, Dothan, AL 36301-1098
Phone: (334) 793-1038
Fax: (334) 615-8444

Authorised official

Name: James S Sullivan
Title: Owner
Phone: (334) 793-1038

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 5184 (AL)

Other Family Medicine providers in Alabama →

Registry record

NPI: 1083714042
Entity type: Organization
NPI issued: 22 Sep 2006
Record last updated: 25 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.