Individual
MR. CURTIS VALENTINE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2042 GARDENIA LN, INDIAN LAND, SC 29707-7884
(574) 532-5394
Mailing address
2042 GARDENIA LN, INDIAN LAND, SC 29707-7884
(574) 532-5394
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
105857568
SC
Other
Enumeration date
01/03/2021
Last updated
01/03/2021
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