Organization
SULLIVAN AND PTRS
Active
Other names
Sullivan and Partners
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY LEIGH LLOYD (ADMINISTRATOR)
(423) 392-6100
Entity
Organization
Contact information
Practice address
2204 PAVILION DR STE 108, KINGSPORT, TN 37660-4651
(423) 392-6100
(423) 392-0803
Mailing address
2204 PAVILION DR STE 108, KINGSPORT, TN 37660-4651
(423) 392-6100
(423) 392-6159
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154366
BCBSTN
—
05
—
3703535
—
TN
Enumeration date
11/22/2006
Last updated
11/28/2023
Update your record
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