Dr. Samuel William Sullivan JR.
Gynecologist
1526 5th Ave S
Birmingham
, Alabama 35233-1615
Dr. Samuel William Sullivan JR.
Gynecologist
1526 5th Ave S
Birmingham
, Alabama 35233-1615
(205) 870-3039
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Samuel William Sullivan JR.
- Po Box 660317
- Birmingham, AL
- Zip : 35266-0317
- Fax : (205) 870-3039
- Phone : (205) 870-5270
Second Address
- Dr. Samuel William Sullivan JR.
- 1526 5th Ave S
- Birmingham, AL
- Zip : 35233-1615
- Fax : (205) 870-3039
- Phone : (205) 870-5270
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 00006127 | AL |
National Provider Identifier
| NPI | 1093899916 |
|---|---|
| Provider Name | Dr. Samuel William Sullivan JR. |
| First Address | Birmingham, AL 35266-0317 |
| Second Address | Birmingham, AL 35233-1615 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C75048 | (02) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.