Search › Mississippi › 2080P0207X

Spencer Sullivan, MD

NPI 1073735114 · on the registry since 2007

Practice

Address: 7730 Old Canton Rd Bldg B
Madison, MS 39110
Phone: (601) 499-0935
Fax: (601) 499-0936
Organisation at this address: Ochsner Mississippi, Llc
Mississippi Center For Advanced Medicine, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 2080P0207X
2080P0207X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-04-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi