# DONALD J SULLIVAN MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124268297
- **Authorized official:** DONALD J SULLIVAN MD (SOLE OWNER)
- **Authorized official phone:** (901) 213-5460

## Contact information

- **Practice address:** 9636 FOX HILL CIR N, GERMANTOWN, TN 38139-6810
- **Practice address phone:** (901) 315-7932
- **Mailing address:** PO BOX 1000 DEPT 0194, MEMPHIS, TN 38148-0194
- **Mailing address phone:** (901) 315-7932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2009
- **Last updated:** 04/09/2024