Individual provider · Type 1 NPI

Henry Paul Sullivant Jr., MD

Specialist · Memphis, TN

NPI number 1407879471 Active

Practice location

6215 Humphreys Blvd, Suite 500
Memphis, TN 38120-2367

Call (901) 682-0630 Map

Fax (901) 682-0635

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X14964 (TN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1407879471

Henry Paul Sullivant Jr., MD's National Provider Identifier is 1407879471, issued on Jul 25, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Memphis, TN. The record was last updated on Jul 8, 2007.