Robert Emmett Sullivan MD

NPI 1609931781 - Family Medicine - 207Q00000X

NPI Details
NPI 1609931781
Gender Male
Enumeration Date 12/27/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
14 LEGACY WAY STE A
ADAIRSVILLE GA, 30103-2455, US
Phone (770) 877-3880
Fax (770) 877-3655
Business Location
1825 MARTHA BERRY BLVD NW
ROME GA, 30165-1625, US
Phone (706) 295-5331
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 042742
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According to our database, Robert Emmett Sullivan MD NPI is 1609931781, taxonomy code is 207Q00000X and license number is 042742, license state is located at Georgia. Robert Emmett Sullivan MD physically located at 14 Legacy Way Ste A, Adairsville GA, 30103-2455. NPI Number Robert Emmett Sullivan MD has the Individual type.

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1609931781 NPI number is provided on an as is basis without warranty of any kind. 1609931781 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Emmett Sullivan MD are for informational purposes only.