Spencer K Sullivan in Madison - Pediatric Hematology-oncology
Spencer K Sullivan - NPI 1073735114
Spencer K Sullivan is a Pediatric Hematology-oncology in Madison, Mississippi. Spencer K Sullivan practices all healthcare services and medical treatments related to Pediatric Hematology-oncology. The NPI Number for Spencer K Sullivan is 1073735114. The last update date is 2019-06-18.
Spencer K Sullivan's current location address is 7731 Old Canton Rd Ste B, Madison, Mississippi. You can contact this provider via phone number 6014990935 and fax number 6014990936. The mailing address for Spencer K Sullivan is 7731 Old Canton Rd Ste B, Madison, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Spencer K Sullivan |
|---|---|
| Address | 7731 Old Canton Rd Ste B, Madison, Mississippi |
| Phone Number | 6014990935 |
| Fax Number | 6014990936 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073735114 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2019-06-18 |
Provider Mailing Address Detail
| Address | 7731 Old Canton Rd Ste B |
|---|---|
| City | Madison |
| State | Mississippi (MS) |
| Post Code | 391106115 |
| Phone Number | 6014990935 |
| Fax Number | 6014990936 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Hematology-oncology |
|---|---|
| Taxonomy | 2080P0207X |
| Licence No | 23304 |
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Definition: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1212067 | MS | -- |
Post Comment/ Review Below
What is the Spencer K Sullivan's 1073735114?
The Spencer K Sullivan's NPI (National Provider Identifier) Number is 1073735114. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Spencer K Sullivan is located?
The Spencer K Sullivan is situated at the following address: 7731 Old Canton Rd Ste B, Madison, MS, 391106115.
What is Spencer K Sullivan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Spencer K Sullivan is Pediatric Hematology-oncology, and the taxonomy classification code that categorizes this area of expertise is 2080P0207X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073735114 to Spencer K Sullivan?
The Centers for Medicare & Medicaid Services originally issued the 1073735114 to Spencer K Sullivan on 2007-05-02.
As of what date was the information regarding Spencer K Sullivan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Spencer K Sullivan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-06-18.