MRS. Katherine Moore Sullivan, RN BSN

NPI #1396943650 in Augusta, Georgia

Provider Information

NPI Number
1396943650
Entity Type
Individual
Name
MRS. Katherine Moore Sullivan, RN BSN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Credential
RN BSN
Enumeration Date
Jul 10, 2007
Last Updated
Jul 10, 2007

Practice Location

Address
3421 MIKE PADGETT HWY
State
Georgia
ZIP Code
30906-3815
Phone
(706) 432-4858

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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