Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MANLY JACKSON SULLIVAN, MEDICAL DOCTOR
ActiveDR. MANLY JACKSON SULLIVAN, MEDICAL DOCTOR is a Emergency Medicine healthcare provider located in CARROLLTON, Alabama. NPI 1003804352 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · CARROLLTON, AL
Registration Details
- NPI Number
- 1003804352
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2005 (20.819809868737 yrs)
- Last Updated
- Jul 9, 2007
- License
-
20081 (AL)
Practice Information
- Address
-
241 ROBERT K WILSON DRCARROLLTON, AL, 354478010Browse AL providers · Browse ZIP 35447
- Phone
- 2053672408
- Fax
- 2053679123
- Primary Specialty
-
Emergency Medicine
207P00000X
Other Emergency Medicine Providers in CARROLLTON, AL
| Name | Credential | NPI |
|---|---|---|
| DR. NIKKI LEE CHRISTENSEN | MEDICAL DOCTORS | 1922096262 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.