Individual
KAREN E SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5126 HOSPITAL DRIVE, COVINGTON, GA 30014
(706) 754-9848
(706) 839-1033
Mailing address
PO BOX 756, BALDWIN, GA 30511
(706) 754-9848
(706) 839-1033
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
046259
GA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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