NPI 1033177894

William Bruns Sullivan

Practitioner Specialist Hattiesburg, MS

Practice location

Address: 109 Millsaps Dr Suite C, Hattiesburg, MS 39402-1348
Phone: (601) 268-5051
Fax: (601) 268-5054
Mailing address: 109 Millsaps Dr Suite C, Hattiesburg, MS 39402-1587

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 12999 (MS)

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Registry record

NPI: 1033177894
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 May 2006
Record last updated: 8 May 2013

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.