Thomas J. Sullivan, Jr. Md, Pa

LBN: Thomas J. Sullivan, Jr. Md, Pa
Thomas J. Sullivan, Jr. Md, Pa is an health care organization with primary practice located at 803 N Fant St Suite 2-C, Anderson SC 29621-5700. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Thomas J. Sullivan, Jr. Md, Pa can be contacted via phone (864) 225-9566, or through Sullivan, Thomas J via phone (864) 225-9566.

Contact Information

Primary practice address
803 N Fant St Suite 2-C Anderson SC 29621-5700
Phone: (864) 225-9566
Fax: (864) 225-9568
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Thomas J Doctor of Medicine (MD)
Phone: (864) 225-9566

Health care specialties

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

Profile Details

NPI number 1386728483
LBN Legal business name Thomas J. Sullivan, Jr. Md, Pa
DBA Doing business as
Authorized official Sullivan, Thomas J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Oct 11th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386728483 NPPES
South Carolina MEDICAID GP4610

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