Sullivan, Stephanie Tiv
Sullivan, Stephanie Tiv is an individual health care provider with primary practice located at 3020 Highway 124 , Snellville GA 30039-4614. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sullivan, Stephanie Tiv can be contacted via phone (770) 978-1331.Contact Information
Primary practice address
3020 Highway 124
Snellville GA 30039-4614
Phone: (770) 978-1331
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1194160044 |
|---|---|
| LBN Legal business name | Sullivan, Stephanie Tiv |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2013 |
| Last updated | Feb 10th, 2023 - about 2 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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