Harold Hayes Sullivan Jr., MD, MPH
Internal Medicine, Gastroenterology in Palatka, FL. Individual provider (NPI-1).
NPI number1013987635
StatusActive
Last updated in NPPESMay 5, 2015
Details
- NPI
- 1013987635
- Entity type
- Individual (NPI-1)
- Name
- Harold Hayes Sullivan Jr.
- Credential
- MD, MPH
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2006
- Last updated
- May 5, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | ME106620 | FL | Yes |
Practice location
700 Zeagler DrSuite 8
Palatka, FL 32177-6806
Phone 386-328-4242 · Fax 386-328-4244
Mailing address
700 Zeagler DrSuite 8
Palatka, FL 32177-6806
Phone 386-328-4242 · Fax 386-328-4244
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