NPI 1073735114
Spencer K Sullivan, MD
Practice location
- Address
- 7730 Old Canton Rd Bldg B, Madison, MS 39110-9299
- Phone
- (601) 499-0935
- Fax
- (601) 499-0936
- Mailing address
- 7731 Old Canton Rd STE B, Madison, MS 39110-6115
Registered specialties
Pediatric Hematology & Oncology Physician
Primary
Registry record
- NPI
- 1073735114
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 May 2007
- Record last updated
- 14 Apr 2025
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.