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Bryan Tipton Sullivan, DPM
Podiatrist in Jackson, Mississippi
NPI 1164592044

Bryan Tipton Sullivan is a Podiatrist based in Jackson, MS. Bryan Tipton Sullivan practices in Jackson, MS and has the professional credentials of DPM. The NPI Number for Bryan Tipton Sullivan is 1164592044 and holds a License No. 80089 (Mississippi).

The current practice location address for Bryan Tipton Sullivan is 1915 Dunbarton Drive, Jackson, MS and can be reached out via phone at 601-982-3338 and via fax at 601-982-2253.

Location: 1915 Dunbarton Drive, Jackson, MS, 39216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164592044
Provider Name
Bryan Tipton Sullivan
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1915 Dunbarton Drive, Jackson, MS, 39216
Phone Number
601-982-3338
Fax Number
601-982-2253
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00012910 05 MS
480007636 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1915 Dunbarton Drive
City
Jackson
State
Mississippi
Zip
39216
Phone Number
601-982-3338
Fax Number
601-982-2253
person
Provider Business Mailing Address Details
Address
1915 Dunbarton Drive
City
Jackson
State
Mississippi
Zip
39216
Phone Number
601-982-3338
Fax Number
601-982-2253
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
80089 (Mississippi)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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