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Manly Sullivan MEDICAL DOCTOR NPI 1003804352

Classification
Emergency Medicine
Type
License No.
20081
License State
AL
Certified
Location

Additional Identifiers

Medical School
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year
1995
Identifier
Type
State
Identifier: 33998
Type: MEDICARE ID-TYPE UNSPECIFIED (04)
State: AL
Identifier: G42261
Type: MEDICARE UPIN (02)
State: AL

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
241 ROBERT K WILSON DR, CARROLLTON, AL, 354478010
Business Phone
205-367-2408
Mailing Address
241 ROBERT K WILSON DR, CARROLLTON, AL, 354478010
Mailing Phone
205-367-2408
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