Sullivan, Thomas James

Sullivan, Thomas James is an individual health care provider with primary practice located at 100 Perpetual Sq , Anderson SC 29621-1713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Sullivan, Thomas James can be contacted via phone (864) 261-7474.

Contact Information

Primary practice address
100 Perpetual Sq Anderson SC 29621-1713
Phone: (864) 261-7474
Fax: (864) 261-8580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 14879 South Carolina

Profile Details

NPI number 1225031966
LBN Legal business name Sullivan, Thomas James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2005
Last updated Oct 19th, 2007 - about 19 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 1225031966 NPPES
Georgia MEDICAID 00612257D
Georgia MEDICAID 148799

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