person
Spencer K Sullivan, MD
Pediatric Hematology & Oncology Physician in Madison, Mississippi
NPI 1073735114

Spencer K Sullivan is a Pediatric Hematology & Oncology Physician based in Madison, MS and is specialized in Pediatric Hematology-Oncology. Spencer K Sullivan practices in Madison, MS and has the professional credentials of MD. The NPI Number for Spencer K Sullivan is 1073735114 and holds a License No. 23304 (Mississippi).

The current practice location address for Spencer K Sullivan is 7730 Old Canton Rd Bldg B, Madison, MS and can be reached out via phone at 601-499-0935 and via fax at 601-499-0936. You can also correspond with Spencer K Sullivan through the mailing address at 7731 OLD CANTON RD STE B, MADISON, MS - 39110-6115 (mailing address contact number: 601-499-0935).

Location: 7730 Old Canton Rd Bldg B, Madison, MS, 39110-6115
person
Provider Profile Details
NPI Number
1073735114
Provider Name
Spencer K Sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7730 Old Canton Rd Bldg B, Madison, MS, 39110-6115
Phone Number
601-499-0935
Fax Number
601-499-0936
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01212067 05 MS
institution
Provider Business Practice Location Address Details
Address
7730 Old Canton Rd Bldg B
City
State
Zip
39110
Phone Number
601-499-0935
Fax Number
601-499-0936
person
Provider Business Mailing Address Details
Address
7731 Old Canton Rd Ste B
City
State
Zip
39110-6115
Phone Number
601-499-0935
Fax Number
601-499-0936
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Hematology-Oncology
Taxonomy
License No.
23304 (Mississippi)
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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