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NPI 1164592044

IndividualActive

Bryan Sullivan, DPM

NPI 1164592044 · Podiatrist · Jackson, MS

Provider details

NPI number: 1164592044
Entity type: Individual
Primary specialty: PodiatristPodiatric Medicine & Surgery Service Providers
Credential: DPM
Sex: Male
Sole proprietor: No
License: 80089 (MS)

Practice location

1915 Dunbarton Drive

Jackson, MS 39216

Phone: (601) 982-3338

Fax: (601) 982-2253

More MS providers

Mailing address

1915 Dunbarton Drive

Jackson, MS 39216

Registry dates

Enumerated: 2006-11-08
Last updated: 2008-06-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bryan Sullivan, DPM — NPI 1164592044, Jackson, MS | NPI Central