Individual provider · Type 1 NPI
Bryan Tipton Sullivan, DPM
Podiatrist · Jackson, MS
NPI number
1164592044
Active
Practice location
1915 Dunbarton Drive
Jackson, MS 39216
Fax (601) 982-2253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist Primary | 213E00000X | 80089 (MS) |
Podiatrist: 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.
Another provider at this address
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About NPI 1164592044
Bryan Tipton Sullivan, DPM's National Provider Identifier is 1164592044, issued on Nov 8, 2006. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Jackson, MS. The record was last updated on Jun 5, 2008.