Individual
CHINYERE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
935 MARIETTA ST NW APT 23, ATLANTA, GA 30318-0528
(678) 768-0496
Mailing address
159 GRANDIFLORA DR, MCDONOUGH, GA 30253-4690
(833) 728-3112
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
GA
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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