Sabra Sullivan in Jackson - Procedural Dermatology
Sabra Sullivan - NPI 1932176641
Sabra Sullivan is a Procedural Dermatology in Jackson, Mississippi. Sabra Sullivan practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Sabra Sullivan is 1932176641. The last update date is 2010-06-14.
Sabra Sullivan's current location address is 501 Marshall St, Jackson, Mississippi. You can contact this provider via phone number 6013558555 and fax number 6013552244. The mailing address for Sabra Sullivan is 501 Marshall St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sabra Sullivan |
|---|---|
| Address | 501 Marshall St, Jackson, Mississippi |
| Phone Number | 6013558555 |
| Fax Number | 6013552244 |
| Sole Proprietor | Y |
| Credentials | M.D., PHD. |
NPI Number Detail
| NPI Number | 1932176641 |
|---|---|
| Provider Enumeration Date | 2006-03-01 |
| Last Updated Date | 2010-06-14 |
Provider Mailing Address Detail
| Address | 501 Marshall St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392021651 |
| Phone Number | 6013558555 |
| Fax Number | 6013552244 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | 14238 |
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Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 114928 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Sabra Sullivan by the Centers for Medicare & Medicaid Services?
The Sabra Sullivan has been assigned the NPI (National Provider Identifier) 1932176641 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Sabra Sullivan is physically located?
The Sabra Sullivan is situated at the following address: 501 Marshall St, Jackson, MS 392021651.
What is the area of specialization for Sabra Sullivan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Sabra Sullivan is Procedural Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207Ns0135X.
On what date did the Sabra Sullivan receive the assignment of its 1932176641 from the Centers for Medicare & Medicaid Services?
The Sabra Sullivan was issued its 1932176641 by the Centers for Medicare & Medicaid Services on 2006-03-01.
As of what date were the Sabra Sullivan's details last updated?
The information pertaining to the Sabra Sullivan, including its address, specialty, and other details, was most recently updated on 2010-06-14.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH