Sullivan, Katherine Moore

Sullivan, Katherine Moore is an sole proprietor health care provider with primary practice located at 3421 Mike Padgett Hwy , Augusta GA 30906-3815. She recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as her primary health care specialty. Sullivan, Katherine Moore can be contacted via phone (706) 432-4858.

Contact Information

Primary practice address
3421 Mike Padgett Hwy Augusta GA 30906-3815
Phone: (706) 432-4858
Fax: (706) 432-3780
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X RN119347 Georgia

Profile Details

NPI number 1396943650
LBN Legal business name Sullivan, Katherine Moore
Credentials RN BSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2007
Last updated Jul 10th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers