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Bryan Sullivan, DPM
NPI 1164592044 · on the registry since 2006
Practice
- Address
- 1915 Dunbarton Drive
Jackson, MS 39216 - Phone
- (601) 982-3338
- Fax
- (601) 982-2253
- Organisation at this address
- Mississippi Foot And Surgical Center, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Podiatrist
213E00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-06-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi