Sullivan, Troy
Sullivan, Troy is an individual health care provider with primary practice located at 125 W Gibson St , Hartwell GA 30643-1848. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sullivan, Troy can be contacted via phone (706) 856-6939.Contact Information
Primary practice address
125 W Gibson St
Hartwell GA 30643-1848
Phone: (706) 856-6939
Fax: (706) 856-6199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 045984 | Georgia |
Profile Details
| NPI number | 1396790614 |
|---|---|
| LBN Legal business name | Sullivan, Troy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396790614 | NPPES |
| Other | 045984 | GEORGIA MEDICAID | |
| Other | G45984 | GEORGIA MEDICAID | |
| MEDICAID | GPA799 | GEORGIA MEDICAID |
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