Gary B Sullivan, MD

NPI #1659334597 in Statesboro, Georgia

Provider Information

NPI Number: 1659334597
Entity Type: Individual
Name: Gary B Sullivan, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Apr 11, 2006
Last Updated: Mar 31, 2011

Practice Location

Address: 1523 FAIR RD
City: Statesboro
State: Georgia
ZIP Code: 30458-6025
Phone: (912) 871-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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