# SULLIVAN AND PTRS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sullivan and Partners
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003981093
- **Authorized official:** PENNY LEIGH LLOYD (ADMINISTRATOR)
- **Authorized official phone:** (423) 392-6100

## Contact information

- **Practice address:** 2204 PAVILION DR STE 108, KINGSPORT, TN 37660-4651
- **Practice address phone:** (423) 392-6100
- **Practice address fax:** (423) 392-0803
- **Mailing address:** 2204 PAVILION DR STE 108, KINGSPORT, TN 37660-4651
- **Mailing address phone:** (423) 392-6100
- **Mailing address fax:** (423) 392-6159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 11/28/2023