William David Sullivan, M.D. Valid NPI

Individual provider · Cardiovascular Disease Physician · Laurel, MS

NPI

1659385276

Type

Individual (Type 1)

Primary specialty

Cardiovascular Disease Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RC0000X

License number

15587 (MS)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-28

Last updated

2013-07-11