Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SPENCER K SULLIVAN, MD
ActiveSPENCER K SULLIVAN, MD is a Pediatric Hematology-Oncology healthcare provider located in MADISON, Mississippi. NPI 1073735114 is currently active in the NPPES registry. Verify at CMS.
Pediatric Hematology-Oncology · MADISON, MS
Registration Details
- NPI Number
- 1073735114
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2007 (19.316618515879 yrs)
- Last Updated
- Apr 14, 2025
- License
-
23304 (MS)
Practice Information
- Address
-
7730 OLD CANTON RD BLDG BMADISON, MS, 391109299Browse MS providers · Browse ZIP 39110
- Phone
- 6014990935
- Fax
- 6014990936
- Primary Specialty
-
Pediatric Hematology-Oncology
2080P0207X
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.