Individual
DR. JOSHUA LEE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-7405
Mailing address
2817 ROCK MERRITT AVE, FORT LIBERTY, NC 28310-0001
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
34933
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/19/2021
Last updated
04/15/2024
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