Individual provider · Type 1 NPI
Sabra Sullivan, MD, PHD.
Procedural Dermatology Physician · Madison, MS
Practice location
100 Mannsdale Park Dr Ste 1
Madison, MS 39110-6381
Fax (601) 910-3005
Mailing address
815 Highway 80 E
Clinton, MS 39056-5252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Procedural Dermatology Physician Primary | 207NS0135X | 14238 (MS) |
Procedural Dermatology Physician: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special t…
Another provider at this address
About NPI 1932176641
Sabra Sullivan, MD, PHD.'s National Provider Identifier is 1932176641, issued on Mar 1, 2006. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Madison, MS. The record was last updated on Jun 9, 2026.