Individual
KAITLIN M O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 251-8865
Mailing address
955 JUNIPER ST NE UNIT 4332, ATLANTA, GA 30309-5116
(321) 446-5628
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
96786
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2020
Last updated
09/10/2023
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