Individual
DR. WILLIAM GREGORY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3024 NEW BERN AVE, SUITE 304 - SURGERY / TRAUMA, RALEIGH, NC 27610-1247
(919) 350-8729
(919) 350-7633
Mailing address
3024 NEW BERN AVE, SUITE 300, RALEIGH, NC 27610-1247
(919) 350-8228
(919) 350-7976
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17288
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8980874
—
NC
Enumeration date
11/06/2006
Last updated
07/08/2007
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