Stephanie Tiv Sullivan, PA-C
NPI #1194160044 in Snellville, Georgia
Provider Information
- NPI Number
- 1194160044
- Entity Type
- Individual
- Name
- Stephanie Tiv Sullivan, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- May 6, 2013
- Last Updated
- Feb 10, 2023
Practice Location
- Address
- 3020 HIGHWAY 124
- City
- Snellville
- State
- Georgia
- ZIP Code
- 30039-4614
- Phone
- (770) 978-1331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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