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Organization
DONALD J SULLIVAN MD
Active
Organization
DONALD J SULLIVAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J SULLIVAN MD (SOLE OWNER)
(901) 213-5460
Entity
Organization
Contact information
Practice address
9636 FOX HILL CIR N, GERMANTOWN, TN 38139-6810
(901) 315-7932
Mailing address
PO BOX 1000 DEPT 0194, MEMPHIS, TN 38148-0194
(901) 315-7932
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/02/2009
Last updated
04/09/2024
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