Individual provider · Type 1 NPI

Manly Jackson Sullivan, MEDICAL DOCTOR

Emergency Medicine Physician · Carrollton, AL

NPI number 1003804352 Active

Practice location

241 Robert K Wilson Dr
Carrollton, AL 35447-8010

Call (205) 367-2408 Map

Fax (205) 367-9123

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000X20081 (AL)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1003804352

Manly Jackson Sullivan, MEDICAL DOCTOR's National Provider Identifier is 1003804352, issued on Oct 11, 2005. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Carrollton, AL. The record was last updated on Jul 13, 2026.