Sullivan, Michael John

Sullivan, Michael John is an individual health care provider with primary practice located at 705 Dixie St Suite 401, Carrollton GA 30117-3818. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Sullivan, Michael John can be contacted via phone (770) 836-9326.

Contact Information

Primary practice address
705 Dixie St Suite 401 Carrollton GA 30117-3818
Phone: (770) 836-9326
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN209135 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN209135 Georgia

Profile Details

NPI number 1780043463
LBN Legal business name Sullivan, Michael John
Credentials AGANP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2016
Last updated Mar 2nd, 2016 - about 8 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.

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