Search › Georgia › 2085R0204X
Kevin Sullivan, M.D
NPI 1447276225 · on the registry since 2006
Practice
- Address
- 250 Ponce De Leon Ave
Suite 100
Decatur, GA 30030 - Phone
- (404) 377-9171
- Fax
- (404) 377-9172
Registry record
- Primary taxonomy
- 2085R0204X
2085R0204X
- Also registered as
- 2085R0202X
2085R0204X - Licence states on file
- PA, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-07-27
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 Georgia