William Bruns Sullivan

NPI 1033177894 - Specialist - 174400000X

NPI Details
NPI 1033177894
Gender Male
Enumeration Date 05/02/2006
Last Updated 05/08/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
109 MILLSAPS DR
SUITE C
HATTIESBURG MS, 39402-1348, US
Phone (601) 268-5051
Fax (601) 268-5054
Business Location
109 MILLSAPS DR
SUITE C
HATTIESBURG MS, 39402-1587, US
Phone (601) 268-5051
Fax (601) 268-5054
Toxanomy
Taxonomy Code 174400000X
License State Mississippi
License Number 12999
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According to our database, Dr. William Bruns Sullivan NPI is 1033177894, taxonomy code is 174400000X and license number is 12999, license state is located at Mississippi. William Bruns Sullivan physically located at 109 Millsaps Dr, Hattiesburg MS, 39402-1348. NPI Number William Bruns Sullivan has the Individual type.

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1033177894 NPI number is provided on an as is basis without warranty of any kind. 1033177894 is maintained by the National Plan & Provider Enumeration System. The contents of William Bruns Sullivan are for informational purposes only.