Individual
DR. CINNAMON L SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1064
(404) 778-3900
(404) 778-5405
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-3900
(404) 778-5405
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
41239
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058514
GA STATE BOARD
GA
Enumeration date
08/13/2007
Last updated
08/13/2007
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