Individual
ROBERT TERRENCE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 CALLEN BLVD STE 330, MONCKS CORNER, SC 29461-8460
(843) 763-2857
(843) 606-8053
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
52239
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NC3045
—
SC
Enumeration date
11/09/2006
Last updated
03/13/2026
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