Manly Jackson Sullivan in Carrollton - Emergency Medicine
Manly Jackson Sullivan - NPI 1003804352
Manly Jackson Sullivan is a Emergency Medicine in Carrollton, Alabama. Manly Jackson Sullivan practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Manly Jackson Sullivan is 1003804352. The last update date is 2007-07-09.
Manly Jackson Sullivan's current location address is 241 Robert K Wilson Dr, Carrollton, Alabama. You can contact this provider via phone number 2053672408 and fax number 2053679123. The mailing address for Manly Jackson Sullivan is 241 Robert K Wilson Dr, Carrollton, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Manly Jackson Sullivan |
|---|---|
| Address | 241 Robert K Wilson Dr, Carrollton, Alabama |
| Phone Number | 2053672408 |
| Fax Number | 2053679123 |
| Sole Proprietor | X |
| Credentials | MEDICAL DO |
NPI Number Detail
| NPI Number | 1003804352 |
|---|---|
| Provider Enumeration Date | 2005-10-11 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 241 Robert K Wilson Dr |
|---|---|
| City | Carrollton |
| State | Alabama (AL) |
| Post Code | 354478010 |
| Phone Number | 2053672408 |
| Fax Number | 2053679123 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 20081 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Manly Jackson Sullivan?
The Manly Jackson Sullivan has been issued the NPI (National Provider Identifier) 1003804352 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Manly Jackson Sullivan is physically located?
The Manly Jackson Sullivan is physically situated at the following address: 241 Robert K Wilson Dr, Carrollton, AL, 354478010.
What is Manly Jackson Sullivan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Manly Jackson Sullivan's area of specialization is Emergency Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207P00000X.
When did Manly Jackson Sullivan receive its 1003804352 assignment?
The Manly Jackson Sullivan was assigned its 1003804352 on 2005-10-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Manly Jackson Sullivan most recently updated or revised?
The information pertaining to Manly Jackson Sullivan, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.