Sullivan, Savannah S

Sullivan, Savannah S is an individual health care provider with primary practice located at 1035 Red Bud Rd Ne , Calhoun GA 30701-6010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Sullivan, Savannah S can be contacted via phone (706) 879-4776.

Contact Information

Primary practice address
1035 Red Bud Rd Ne Calhoun GA 30701-6010
Phone: (706) 879-4776
Fax: (706) 879-5841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN186305 Georgia

Profile Details

NPI number 1457783110
LBN Legal business name Sullivan, Savannah S
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2013
Last updated Jan 3rd, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457783110 NPPES
Georgia MEDICAID 003142181B

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