NPI 1003804352

Manly Jackson Sullivan, MEDICALDOCTOR

Practitioner Emergency Medicine Physician Carrollton, AL

Practice location

Address: 241 Robert K Wilson Dr, Carrollton, AL 35447-8010
Phone: (205) 367-2408
Fax: (205) 367-9123

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 20081 (AL)

Other Emergency Medicine providers in Alabama →

Registry record

NPI: 1003804352
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Oct 2005
Record last updated: 13 Jul 2026

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.