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Dr. William Bruns Sullivan
Specialist in Hattiesburg, Mississippi
NPI 1033177894

William Bruns Sullivan is a Specialist based in Hattiesburg, MS. William Bruns Sullivan practices in Hattiesburg, MS. The NPI Number for William Bruns Sullivan is 1033177894 and holds a License No. 12999 (Mississippi).

The current practice location address for William Bruns Sullivan is 109 Millsaps Dr, Hattiesburg, MS and can be reached out via phone at 601-268-5051 and via fax at 601-268-5054.

Location: 109 Millsaps Dr, Hattiesburg, MS, 39402-1587
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033177894
Provider Name
William Bruns Sullivan
Credential
Provider Entity Type
Individual
Gender
Male
Address
109 Millsaps Dr, Hattiesburg, MS, 39402-1587
Phone Number
601-268-5051
Fax Number
601-268-5054
Provider Enumeration Date
05/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00118398 05 MS
institution
Provider Business Practice Location Address Details
Address
109 Millsaps Dr
City
Hattiesburg
State
Mississippi
Zip
39402-1348
Phone Number
601-268-5051
Fax Number
601-268-5054
person
Provider Business Mailing Address Details
Address
109 Millsaps Dr
City
Hattiesburg
State
Mississippi
Zip
39402-1348
Phone Number
601-268-5051
Fax Number
601-268-5054
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
12999 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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