Search › North Carolina › 225100000X
Shane Sullivan
NPI 1184339699 · on the registry since 2023 · sole proprietor
Practice
- Address
- 505 Blakey Hall Ln
Elon, NC 27244 - Phone
- (336) 260-2361
Additional practice sites
- 4221 Garrett Rd, Durham, NC
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 2081S0010X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-19
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 North Carolina